Individual
LISA CHRISTINE BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
602 JACKSON ST, PETOSKEY, MI 49770-2220
(231) 348-2795
Mailing address
602 JACKSON ST, PETOSKEY, MI 49770-2220
(231) 348-2795
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101018761
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2010
Last updated
05/08/2026
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