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NPI Code Detail

MEDICARE: MS. CHERYL BUTLER LEE FNP

MEDICARE:  MS. CHERYL BUTLER LEE  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner620308CA

General Provider Information

NPI Number : 1366528416
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHERYL BUTLER LEE FNP
Provider Business Mailing Address
First Line : 350 SAN FERNANDO ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92106-3336
Country : US
Telephone Number : 619-226-6422
Fax Number : 619-222-2833
Provider Business Practice Location Address
First Line : 7920 FROST ST STE 200
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-4289
Country : US
Telephone Number : 858-514-3700
Fax Number : 858-565-6811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2006
Last Update Date : 07/08/2007

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Directions to “ MS. CHERYL BUTLER LEE FNP” Practice Location

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