Individual
MR. LLOYD J. BEAUDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3231 WEST RD, TRENTON, MI 48183-2399
(734) 692-3500
(734) 692-3039
Mailing address
3231 WEST RD, TRENTON, MI 48183-2399
(734) 692-3500
(734) 692-3039
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101010366
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2961846
—
MI
01
—
5824683
MEDICARE PTAN
MI
Enumeration date
06/27/2006
Last updated
10/26/2022
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