Organization
WACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEZLIE KEITH BEARD (LVN 68WM6)
(760) 380-2621
Entity
Organization
Contact information
Practice address
1801 E RIMROCK RD APT P21 BOX114, BARSTOW, CA 92311-5745
(661) 717-8268
Mailing address
1801 E RIMROCK RD APT P21 BOX114, BARSTOW, CA 92311-5745
(661) 717-8268
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
207529
TX
Other
Enumeration date
12/26/2006
Last updated
08/22/2020
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