Individual
LYNN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1805 W CITY DR STE H, ELIZABETH CITY, NC 27909-9660
(252) 334-1602
(252) 334-1604
Mailing address
PO BOX 11314, BELFAST, ME 04915-4004
(757) 842-4481
(757) 312-3135
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200600689
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200600689
STATE MEDICAL LICENSE
NC
Enumeration date
09/29/2005
Last updated
11/19/2020
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