MR. Lance Jeffrey Beebout, PAC

NPI #1255300091 in Alexandria, Minnesota

Provider Information

NPI Number: 1255300091
Entity Type: Individual
Name: MR. Lance Jeffrey Beebout, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Mar 15, 2006
Last Updated: Oct 21, 2024

Practice Location

Address: 111 17TH AVE E STE 101
City: Alexandria
State: Minnesota
ZIP Code: 56308-3734
Phone: (320) 762-1144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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