LANCE J BEEBOUT PA

DOUGLAS COUNTY HOSPITAL

Dr LANCE J BEEBOUT PA is a male medical professional, specializing in Physician Assistant. He graduated in 2004.

Contact

DOUGLAS COUNTY HOSPITAL

111 17TH AVE E
SUITE 101
ALEXANDRIA
MN
563083734

Tel: 3207621144

LANCE J BEEBOUT PA Information

Npi 1255300091
Pac Id 5193705093
Professional Enrollment Id I20040721001557
Last Name BEEBOUT
First Name LANCE
Middle Name J
Suffix
Gender M
Credential PA
Medical School Name OTHER
Graduation Year 2004
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name DOUGLAS COUNTY HOSPITAL
Group Practice Pac Id 0648171413
Number Of Group Practice Members 90
Line 1 Street Address 111 17TH AVE E
Line 2 Street Address SUITE 101
Marker Of Address Line 2 Suppression
City ALEXANDRIA
State MN
Zip Code 563083734
Phone Number 3207621144
Hospital Affiliation Ccn 1 240030
Hospital Affiliation Lbn 1 DOUGLAS COUNTY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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