Individual
LAURIE JEANNE BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
131 MEDICAL PARK RD, SUITE 201, MOORESVILLE, NC 28117-8522
(704) 662-0877
(704) 662-0875
Mailing address
131 MEDICAL PARK RD, SUITE 201, MOORESVILLE, NC 28117-8522
(704) 662-0877
(704) 662-0875
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
37789
NC
207L00000X
Anesthesiology Physician
Primary
0101284574
VA
207L00000X
Anesthesiology Physician
17971
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13986
BCBS
NC
05
—
8913986
—
NC
Enumeration date
08/30/2006
Last updated
05/13/2025
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