NPI Profile for LISA R BECKWITH in DETROIT, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Critical Care Medicine |
163WC0200X |
| NPI # | 1801178421 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 09/10/2011 | |
| Last updated | 03/29/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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LISA R BECKWITH
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