Provider Demographics
NPI:1366821902
Name:BELIVEAU, LAUREN (MD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:BELIVEAU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6377 E TANQUE VERDE RD
Mailing Address - Street 2:STE 101
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3839
Mailing Address - Country:US
Mailing Address - Phone:520-296-5500
Mailing Address - Fax:520-296-5800
Practice Address - Street 1:6377 E TANQUE VERDE RD
Practice Address - Street 2:STE 101
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3839
Practice Address - Country:US
Practice Address - Phone:520-296-5500
Practice Address - Fax:520-296-5800
Is Sole Proprietor?:No
Enumeration Date:2015-05-28
Last Update Date:2022-05-27
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Provider Licenses
StateLicense IDTaxonomies
AZ661292086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery