Individual
LISA BEAUVOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-3598
(410) 614-0973
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R168664
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R168664
MD
Other
Enumeration date
01/13/2012
Last updated
05/07/2019
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