Provider Demographics
NPI:1003842196
Name:BUTCHER, LANA MAY
Entity Type:Individual
Prefix:MISS
First Name:LANA
Middle Name:MAY
Last Name:BUTCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7357
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44705-0357
Mailing Address - Country:US
Mailing Address - Phone:330-371-2325
Mailing Address - Fax:
Practice Address - Street 1:1219 LIPPERT RD NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44705-1019
Practice Address - Country:US
Practice Address - Phone:330-371-2325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide