Individual
LEWIS HENRY BEAZLIE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CNP, BC, CARN-AP
Contact information
Practice address
10701 EAST BLVD, CVAMC VARC SA(W), CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 421-3218
Mailing address
588 MEREDITH LN, CUYAHOGA FALLS, OH 44223-2591
(330) 926-1662
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP-03858
OH
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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