Individual
ALLISON MARIE LAVINIA BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 N 1900 E RM 1C26, SALT LAKE CITY, UT 84132-0002
(801) 581-2417
Mailing address
30 N 1900 E RM 1C26, SALT LAKE CITY, UT 84132-0002
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.138372
OH
Other
Enumeration date
03/27/2017
Last updated
08/12/2022
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