Julien Beattie-Lanoue
MOHS-Micrographic Surgeon
540 Medical Oaks Ave Ste 102
Brandon
, Florida 33511-5995
Julien Beattie-Lanoue
MOHS-Micrographic Surgeon
540 Medical Oaks Ave Ste 102
Brandon
, Florida 33511-5995
(813) 692-4171
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Julien Beattie-Lanoue
- 540 Medical Oaks Ave Ste 102
- Brandon, FL
- Zip : 33511-5995
- Phone : (813) 692-4171
Second Address
- Julien Beattie-Lanoue
- 540 Medical Oaks Ave Ste 102
- Brandon, FL
- Zip : 33511-5995
- Phone : (813) 692-4171
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | ME151328 | FL |
National Provider Identifier
| NPI | 1407218308 |
|---|---|
| Provider Name | Julien Beattie-Lanoue |
| First Address | Brandon, FL 33511-5995 |
| Second Address | Brandon, FL 33511-5995 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2016 |
| Last Update Date | 13/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.