Organization
L. A. BEALER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS A BEALER MD (DOCTOR)
(417) 532-9161
Entity
Organization
Contact information
Practice address
732 S MADISON AVE, LEBANON, MO 65536-3591
(417) 532-9161
Mailing address
732 S MADISON AVE, LEBANON, MO 65536-3591
(417) 532-9161
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134224553
NPI
MO
05
—
200361608
—
MO
Enumeration date
08/25/2009
Last updated
08/25/2009
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