Individual
LUANNA L BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6119 MIDTOWN AVE, LITTLE ROCK, AR 72205-5313
(501) 296-1800
(501) 296-1711
Mailing address
1804 W HULL ST, DENISON, TX 75020-5333
(207) 356-2342
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
015151
ME
207VM0101X
Maternal & Fetal Medicine Physician
01086857
IN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
E15864
AR
207VM0101X
Maternal & Fetal Medicine Physician
MD457618
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174590099
—
ME
Enumeration date
06/15/2006
Last updated
02/07/2024
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