Luann Sue Beacom N.P.

NPI 1760578538 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1760578538
Gender Female
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4060 4TH AVE
SUITE 420
SAN DIEGO CA, 92103, US
Phone (619) 299-3111
Fax (619) 299-3126
Business Location
5383 BOTHE AVE
SAN DIEGO CA, 92122, US
Phone (858) 546-9088
Fax
Toxanomy
Taxonomy Code 363L00000X
License State California
License Number 9876
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According to our database, Ms. Luann Sue Beacom N.P. NPI is 1760578538, taxonomy code is 363L00000X and license number is 9876, license state is located at California. Luann Sue Beacom N.P. physically located at 4060 4th Ave, San Diego CA, 92103. NPI Number Luann Sue Beacom N.P. has the Individual type.

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1760578538 NPI number is provided on an as is basis without warranty of any kind. 1760578538 is maintained by the National Plan & Provider Enumeration System. The contents of Luann Sue Beacom N.P. are for informational purposes only.