Individual
LARRIE HUSON BUTLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7626
(318) 330-7648
Mailing address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7626
(318) 330-7648
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP01475
LA
367500000X
Certified Registered Nurse Anesthetist
RN050764
LA
Other
Enumeration date
07/28/2006
Last updated
12/23/2014
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