Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lara Alexis Butler

Individual provider Physician Assistant · NPI 1013377902

Lara Alexis Butler is a Physician Assistant in Boston, Massachusetts. Graduated from Yale University School of Medicine in 2015, 11 years ago. Practices with Brigham and Womens Physicians Organization Inc, a 2,916-clinician group and accepts Medicare assignment.

Years since qualifying
11
Trained at
Yale University School of Medicine
In the registry since
2016
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Practice location Address checks out

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-8910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1013377902
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2016
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023
Mailing address450 Brookline Ave, Boston, MA 02215-5418

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Brigham And Womens Physicians Organization Inc — 2916 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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