Individual
MRS. LAUREN CLARK BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 5TH ST N, COLUMBUS, MS 39705-2008
(662) 244-1000
Mailing address
500 TYLER RD, STARKVILLE, MS 39759-9026
(501) 944-6390
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
903750
MS
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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