| NPI | 1124187521 |
|---|---|
| Former Name | LEONARD JAMES BEAULIEU |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9244587) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |