Lauren Butz

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cullowhee, NC

NPI 1679113203 · NPPES record last updated Jun 8, 2022

Key facts

NPI
1679113203
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
70 Future St
Cullowhee, NC 28723-2150
Phone
(910) 269-6667
NPI assigned
Jan 11, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

70 Future St
Cullowhee, NC 28723-2150

Mailing address

70 Future St
Cullowhee, NC 28723-2150

Other practice location 1

1320 Waters End Ct
Winnabow, NC 28479-5760
Phone (910) 269-6667

Other providers in Cullowhee, NC

All providers in Cullowhee, NC · Student in an Organized Health Care Education/Training Program in North Carolina

Sources for this page

Verify at the official NPI Registry.