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Organization

LAWRENCE K BUTCHER PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAWRENCE KING BUTCHER M. D. (PRESIDENT)
(606) 337-1313
Entity
Organization

Contact information

Practice address
850 RIVERVIEW RD, PINEVILLE, KY 40977-1430
(606) 337-1313
(606) 337-1314
Mailing address
850 RIVERVIEW RD, PINEVILLE, KY 40977-1430
(606) 337-1313
(606) 337-1314

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19286
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000047492
ANTHEM BLUESHIELD
KY
01
2191920
UMWA
KY
05
64192867
KY
Enumeration date
07/07/2006
Last updated
06/10/2010
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