Individual
LAUREN M. B. BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3510 ANDERSON HWY, SUITE 2, POWHATAN, VA 23139-5846
(804) 598-2100
(804) 598-7624
Mailing address
2324 BATH ST, SANTA BARBARA, CA 93105-4330
(805) 682-3870
(805) 569-3860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206029
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619106424
MEDICAID QMB PROVIDER ID
VA
01
—
C05954
MEDICARE GROUP PTAN
VA
01
—
P01455929
MEDICARE RAILROAD PTAN
VA
Enumeration date
07/14/2009
Last updated
12/22/2015
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