L. A. Bealer INC
Clinic/Center, Primary Care in Lebanon, MO. Organization (NPI-2).
NPI number1760615736
StatusActive
Last updated in NPPESAug 25, 2009
Details
- NPI
- 1760615736
- Entity type
- Organization (NPI-2)
- Legal business name
- L. A. Bealer INC
- Organization subpart
- No
- Enumeration date
- Aug 25, 2009
- Last updated
- Aug 25, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
732 S Madison AveLebanon, MO 65536-3591
Phone 417-532-9161
Mailing address
732 S Madison AveLebanon, MO 65536-3591
Phone 417-532-9161
Authorized official
Louis A Bealer
Doctor
4175329161
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