| NPI | 1447590088 |
|---|---|
| Other Name | BEAU LACEFIELD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 5651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO177881) |
| 207R00000X Internal Medicine (Licence: OH 34.012139) | |
| 207R00000X Internal Medicine (Licence: WA OP60641490) | |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2019-02-14 |