Individual
MR. D'LIVRO LEMAT BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4705 WOODMERE BLVD, MONTGOMERY, AL 36106-3078
(334) 558-0262
(334) 558-0267
Mailing address
4705 WOODMERE BLVD, MONTGOMERY, AL 36106-3078
(334) 558-0262
(334) 558-0267
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
20243
AL
207Q00000X
Family Medicine Physician
Primary
20243
AL
207QA0000X
Adolescent Medicine (Family Medicine) Physician
20243
AL
207QA0401X
Addiction Medicine (Family Medicine) Physician
20243
AL
207QA0505X
Adult Medicine Physician
20243
AL
207QB0002X
Obesity Medicine (Family Medicine) Physician
20243
AL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
20243
AL
208VP0000X
Pain Medicine Physician
20243
AL
261QM1300X
Multi-Specialty Clinic/Center
20243
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009987015
—
AL
01
—
515-21545
BCBS ALABAMA
AL
Enumeration date
03/07/2006
Last updated
06/11/2015
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