Provider Demographics
NPI:1346433513
Name:BUTLER, LYNN A (ARDMS)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:A
Last Name:BUTLER
Suffix:
Gender:F
Credentials:ARDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-3213
Mailing Address - Country:US
Mailing Address - Phone:401-737-2229
Mailing Address - Fax:
Practice Address - Street 1:242 HUNTINGHOUSE RD
Practice Address - Street 2:
Practice Address - City:NORTH SCITUATE
Practice Address - State:RI
Practice Address - Zip Code:02857-2849
Practice Address - Country:US
Practice Address - Phone:401-678-6873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI807422471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography