Keith Allen Beaulieu
Pulmonary Disease
540 N Duke St Suite 244
Lancaster
, Pennsylvania 17602-2374
Keith Allen Beaulieu
Pulmonary Disease
540 N Duke St Suite 244
Lancaster
, Pennsylvania 17602-2374
(717) 544-4964
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Keith Allen Beaulieu
- 540 N Duke St Suite 244
- Lancaster, PA
- Zip : 17602-2374
- Fax : (717) 544-4964
- Phone : (717) 544-4930
Second Address
- Keith Allen Beaulieu
- 540 N Duke St Suite 244
- Lancaster, PA
- Zip : 17602-2374
- Fax : (717) 544-4964
- Phone : (717) 544-4930
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | MT182532 | PA |
National Provider Identifier
| NPI | 1043474364 |
|---|---|
| Provider Name | Keith Allen Beaulieu |
| First Address | Lancaster, PA 17602-2374 |
| Second Address | Lancaster, PA 17602-2374 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2008 |
| Last Update Date | 14/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1023706850001 | (05) | PA |
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.