Individual
LAUREN MITCHELL BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF MED&PEDS, SHREVEPORT, LA 71103
(318) 813-2528
(318) 813-2565
Mailing address
1501 KINGS HWY, DEPARTMENT OF MED&PEDS, SHREVEPORT, LA 71103-4228
(318) 813-2528
(318) 813-2565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200123
LA
208000000X
Pediatrics Physician
200123
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1059668
—
LA
Enumeration date
06/04/2007
Last updated
08/20/2018
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