Lydia Butler, 167G00000X
Individual provider Active NPI Licensed Vocational Nurse · Altadena, CA
NPI 1508091190 · NPPES record last updated Feb 7, 2013
Key facts
- NPI
- 1508091190
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- VN153640 (CA)
- Practice address
- 3126 N Glenrose Street
Altadena, CA 91001 - Phone
- (626) 254-5000
- NPI assigned
- May 26, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN153640 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN153640 | CA | Yes |
Addresses
Primary practice location
3126 N Glenrose Street
Altadena, CA 91001
Mailing address
1234 6 TH St
Los Angeles, CA 90012
Other providers in Altadena, CA
- Julia Bugg
- Denise Burciaga
- Susan Burke
- James Burnett
- Marcia Louise Burnett
- Maureen Butler
- Laura Gina Calderoni
- California Health Psychology PC
- Bradley David Campbell
- David Stuart Campbell
All providers in Altadena, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.