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Individual

DR. LISA R. BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1212 E ELIZABETH ST, FORT COLLINS, CO 80524-4007
(970) 482-2791
(970) 469-9843
Mailing address
120 N ROOSEVELT AVE, FORT COLLINS, CO 80521-2353
(719) 963-1945

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42006
CO

Other

Enumeration date
01/31/2007
Last updated
08/11/2009
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