Individual
MRS. LUCILLE B. BEVERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11601 CHAPMAN RD, KINGSVILLE, MD 21087-1523
(443) 787-6764
Mailing address
11601 CHAPMAN RD, KINGSVILLE, MD 21087-1523
(443) 787-6764
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R079523
MD
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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