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NPI Code Detail

MEDICARE: LAWRENCE K BUTCHER PSC

MEDICARE: LAWRENCE K BUTCHER PSC
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
1207V00000XObstetrics & Gynecology Physician19286KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000047492OTHERKYANTHEM BLUESHIELD
22191920OTHERKYUMWA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881626935
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAWRENCE K BUTCHER PSC
Provider Business Mailing Address
First Line : 850 RIVERVIEW RD
Second Line :
City : PINEVILLE
State : KY
Zip : 40977-1430
Country : US
Telephone Number : 606-337-1313
Fax Number : 606-337-1314
Provider Business Practice Location Address
First Line : 850 RIVERVIEW RD
Second Line :
City : PINEVILLE
State : KY
Zip : 40977-1430
Country : US
Telephone Number : 606-337-1313
Fax Number : 606-337-1314
Authorized Official
Title or Position : PRESIDENT
Name : LAWRENCE KING BUTCHER
Credential : M. D.
Telephone Number : 606-337-1313
Provider Enumeration Date : 07/07/2006
Last Update Date : 06/10/2010

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