Lansden, Beverly

Lansden, Beverly is an individual health care provider with primary practice located at 4540 W Railroad St , Gulfport MS 39501-2480. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Lansden, Beverly can be contacted via phone (228) 867-6062.

Contact Information

Primary practice address
4540 W Railroad St Gulfport MS 39501-2480
Phone: (228) 867-6062
Fax: (228) 867-2598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 13274 Mississippi

Profile Details

NPI number 1588617997
LBN Legal business name Lansden, Beverly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588617997 NPPES
Mississippi MEDICAID 02301265
Mississippi Other P00406988

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