Provider Demographics
NPI:1821300922
Name:BEYER-MCCARTHY, LEE (LICAC)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:
Last Name:BEYER-MCCARTHY
Suffix:
Gender:F
Credentials:LICAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 BOSTON ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6320
Mailing Address - Country:US
Mailing Address - Phone:978-258-5779
Mailing Address - Fax:
Practice Address - Street 1:543 BOSTON ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6320
Practice Address - Country:US
Practice Address - Phone:978-258-5779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA237862171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist