Doctor Name: | LYNN ELIZABETHER BEALS-BECKER |
NPI Number: | 1477551539 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 5101012614 |
Business Practice Address: | 4470 Jackson Rd Suite 101 Ann Arbor, MI - 481031834 |
Business Phone Number: | 7342132996 |
Business Fax Number: | 7342132997 |
Mailing Address: | 4470 Jackson Rd, Suite 101 ANN ARBOR |
State: | MI |
Postal Code: | 481031834 |
Phone Number: | 7342132996 |
Fax Number: | 7342132997 |
NPI Enumeration Date: | 07/12/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 5101012614 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |