Individual
LAUREN BESHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1949 HIGHWAY 81 STE 100, LOGANVILLE, GA 30052-4583
(770) 207-6390
Mailing address
1949 HIGHWAY 81 STE 100, LOGANVILLE, GA 30052-4583
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014793
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT014793
PROFESSIONAL LICENSING BOARD
GA
Enumeration date
08/20/2020
Last updated
08/20/2020
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