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Individual

DR. BEVERLY LANSDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4540 W RAILROAD ST, GULFPORT, MS 39501-2480
(228) 867-6062
(228) 867-2598
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 867-6062
(228) 867-2598

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
13274
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02301265
MS
01
P00406988
RAILROAD MEDICARE
MS
Enumeration date
05/18/2006
Last updated
07/10/2014
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