Individual
JULIEN BEATTIE-LANOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 MEDICAL OAKS AVE STE 102, BRANDON, FL 33511-5995
(813) 692-4171
Mailing address
540 MEDICAL OAKS AVE STE 102, BRANDON, FL 33511-5995
(813) 692-4171
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME151328
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
12/13/2021
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