Mr. Lawrence Gene Beavers Jr.
Mr. Lawrence Gene Beavers Jr. is a Case Manager/Care Coordinator in Fairborn, Ohio. Licensed in Ohio. Registered with an NPI since 2019.
- Licensed in
- OH
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
188 W Hebble AveFairborn, OH 45324-4960
Phone: (937) 971-2350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Peer Specialist | Taxonomy 175T00000X (OH) |
Record details
| NPI number | 1649813254 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 26, 2019 |
| Last updated in NPPES | August 20, 2021 |
| Certification date | August 19, 2021 |
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