Basic Information
| Provider Information | |||||||||
| NPI: | 1437440724 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BUTLER | ||||||||
| FirstName: | DAWN | ||||||||
| MiddleName: | LAIN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 706 GREEN VALLEY RD STE 104 | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274087043 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3363872500 | ||||||||
| FaxNumber: | 8447519263 | ||||||||
| Practice Location | |||||||||
| Address1: | 706 GREEN VALLEY RD STE 104 | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274087043 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3363872500 | ||||||||
| FaxNumber: | 8447519263 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/21/2011 | ||||||||
| LastUpdateDate: | 04/20/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0102X | 19157 | NC | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.