Individual
MRS. LISA M BUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
600 N 2ND ST STE 401, HARRISBURG, PA 17101-1071
(860) 788-6404
Mailing address
PO BOX 1595, MIDDLETOWN, CT 06457-8095
(860) 788-6404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN287734L
PA
363LF0000X
Family Nurse Practitioner
Primary
SP013108
PA
Other
Enumeration date
07/30/2013
Last updated
06/27/2024
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