ANNELIESE M BEAUBRUN

LIFESPAN PHYSICIAN GROUP, INC.

Dr ANNELIESE M BEAUBRUN is a female medical professional, specializing in Internal Medicine. She graduated in 2010.

Contact

LIFESPAN PHYSICIAN GROUP, INC.

185 HIGH SERVICE AVE
NORTH PROVIDENCE
RI
029045114

Tel: 4013546050

ANNELIESE M BEAUBRUN Information

Npi 1255745501
Pac Id 2567739543
Professional Enrollment Id I20170523000475
Last Name BEAUBRUN
First Name ANNELIESE
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LIFESPAN PHYSICIAN GROUP, INC.
Group Practice Pac Id 2567455082
Number Of Group Practice Members 615
Line 1 Street Address 185 HIGH SERVICE AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NORTH PROVIDENCE
State RI
Zip Code 029045114
Phone Number 4013546050
Hospital Affiliation Ccn 1 410012
Hospital Affiliation Lbn 1 THE MIRIAM 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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