Individual
ELEANOR FRANCES LUSTIG-BUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2310 MOUNTAIN VIEW BLVD, KLAMATH FALLS, OR 97601-1134
(541) 883-3591
(541) 883-2886
Mailing address
2310 MOUNTAIN VIEW BLVD, KLAMATH FALLS, OR 97601-1134
(541) 883-3591
(541) 883-2886
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
089007521N2 PNP PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013115
—
OR
Enumeration date
10/05/2006
Last updated
07/08/2007
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