Provider Demographics
NPI:1205095874
Name:BUTTERFIELD, LAUREN ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:BUTTERFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5921 BAYVIEW CIR S APT 1315
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33707-3929
Mailing Address - Country:US
Mailing Address - Phone:727-295-3370
Mailing Address - Fax:
Practice Address - Street 1:7901 4TH ST N STE 308
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-4313
Practice Address - Country:US
Practice Address - Phone:727-295-3370
Practice Address - Fax:727-513-6839
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-08
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1363722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry