Individual
JOHN LAURENCE BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1411 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 443-2531
(615) 443-2524
Mailing address
605 N 16TH ST, NASHVILLE, TN 37206-1806
(615) 226-1681
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2006-0008
NM
207P00000X
Emergency Medicine Physician
MD-27634
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F60314
UPIN
NM
Enumeration date
06/23/2006
Last updated
01/04/2010
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