Individual
LYNN CORBIN BEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3812 N ELM ST, GREENSBORO, NC 27455-2596
(336) 294-1833
(336) 294-8831
Mailing address
128 PEACHTREE LN, SUITE B, ADVANCE, NC 27006-6782
(336) 998-3396
(336) 998-2889
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
043151
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0264U
BCBS
NC
01
—
16186
PARTNERS
NC
01
—
2603407B
MEDICARE INDIVIDUAL PTAN
NC
Enumeration date
05/11/2007
Last updated
01/22/2008
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