Individual
LISA MARIE BEAUDET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7012 SYCAMORE AVENUE, TAKOMA PARK, MD 20912
(202) 550-9406
(202) 877-3820
Mailing address
7012 SYCAMORE AVENUE, TAKOMA PARK, MD 20912
(301) 270-0994
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
MD30380
DC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD30380
DC
Other
Enumeration date
10/28/2005
Last updated
12/27/2016
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