Provider Demographics
NPI:1972023042
Name:BUTNER, LANA OLIVIA (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:LANA
Middle Name:OLIVIA
Last Name:BUTNER
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 W 24TH ST APT 6E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-3218
Mailing Address - Country:US
Mailing Address - Phone:347-935-1575
Mailing Address - Fax:
Practice Address - Street 1:7 W 22ND ST FL 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5142
Practice Address - Country:US
Practice Address - Phone:929-306-6928
Practice Address - Fax:929-419-9061
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-21
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16-1590175F00000X
NY005957-1171100000X
CT000596175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist