Individual
DR. LYNN BEAULIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 S UNION BLVD, SUITE 305, COLORADO SPRINGS, CO 80910-3113
(719) 365-6881
(719) 365-6877
Mailing address
4199 APACHE PLUME DR, COLORADO SPRINGS, CO 80920-7664
(719) 282-4321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31824
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
495198
MHS MEDICARE PIN
CO
05
—
81671709
—
CO
01
—
BEB8948
BLUE SHIELD
CO
01
—
COA104028
MEMORIAL HOSPITAL
CO
Enumeration date
05/04/2006
Last updated
03/16/2011
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