Provider Demographics
NPI:1396044277
Name:BEAKLEY, LINDSEY WARD (MD)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:WARD
Last Name:BEAKLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6701 AIRPORT BLVD STE B222
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-6700
Mailing Address - Country:US
Mailing Address - Phone:251-663-0663
Mailing Address - Fax:251-663-6468
Practice Address - Street 1:6701 AIRPORT BLVD STE B222
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-6700
Practice Address - Country:US
Practice Address - Phone:251-663-0663
Practice Address - Fax:251-663-6468
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.371322086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology