Individual
LOUISE S BUTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 254-1271
Mailing address
84 CRISPUS ATTUCKS PL, BOSTON, MA 02119-1909
(617) 308-5103
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN91540
MA
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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