Lance Jeffrey Beebout in Alexandria - Physician Assistant
Lance Jeffrey Beebout - NPI 1255300091
Lance Jeffrey Beebout is a Physician Assistant in Alexandria, Minnesota. Lance Jeffrey Beebout practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lance Jeffrey Beebout is 1255300091. The last update date is 2023-03-07.
Lance Jeffrey Beebout's current location address is 111 17th Ave E Ste 101, Alexandria, Minnesota. You can contact this provider via phone number 3207621144 and fax number 3207621935. The mailing address for Lance Jeffrey Beebout is 111 17th Ave E Ste 101, Alexandria, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lance Jeffrey Beebout |
|---|---|
| Address | 111 17th Ave E Ste 101, Alexandria, Minnesota |
| Phone Number | 3207621144 |
| Fax Number | 3207621935 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1255300091 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 111 17th Ave E Ste 101 |
|---|---|
| City | Alexandria |
| State | Minnesota (MN) |
| Post Code | 563083734 |
| Phone Number | 3207621144 |
| Fax Number | 3207621935 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9887 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1255300091 | MN | -- |
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What is the Lance Jeffrey Beebout's 1255300091?
The Lance Jeffrey Beebout's NPI (National Provider Identifier) Number is 1255300091. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the Lance Jeffrey Beebout's specialty and taxonomy code?
The Lance Jeffrey Beebout's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for Lance Jeffrey Beebout, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lance Jeffrey Beebout is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Lance Jeffrey Beebout's 1255300091 issued?
The Lance Jeffrey Beebout's 1255300091 was issued on 2006-03-15.
When was the Lance Jeffrey Beebout's information last updated?
The Lance Jeffrey Beebout's information was last updated on 2023-03-07.
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