Provider Demographics
NPI:1245208966
Name:BUTLER, LORILEE H (PA-C)
Entity Type:Individual
Prefix:MS
First Name:LORILEE
Middle Name:H
Last Name:BUTLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:LORILEE
Other - Middle Name:H
Other - Last Name:LANDGRAF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4850 MILLENIA BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-6012
Mailing Address - Country:US
Mailing Address - Phone:210-488-8331
Mailing Address - Fax:
Practice Address - Street 1:4850 MILLENIA BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-6012
Practice Address - Country:US
Practice Address - Phone:210-488-8331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant