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Individual

DR. LISA T BEAULE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106-1999
(207) 773-1728
(207) 772-4062
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD15332
ME

Other

Enumeration date
05/25/2006
Last updated
02/06/2025
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