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Individual

BEVERLEY LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
550 E WASHINGTON BLVD STE 100, CRESCENT CITY, CA 95531-8161
(707) 465-6925
(707) 387-9808
Mailing address
20687 AMAR RD, WALNUT, CA 91789-5044
(424) 332-6459

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013161
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000
FNP
CA
Enumeration date
12/03/2020
Last updated
07/24/2026
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