Individual
BEVIN LASHLEY DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E LANCASTER AVE, MOB EAST 556, WYNNEWOOD, PA 19096-3450
(610) 896-0210
(610) 896-5101
Mailing address
100 E LANCASTER AVE, MOB EAST 556, WYNNEWOOD, PA 19096-3450
(610) 896-0210
(610) 896-5101
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MT182645
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002024432
HIGHMARK BLUE SHIELD
—
05
—
1021146200001
—
PA
01
—
3502778000
INDEPENDENCE BLUE CROSS
—
Enumeration date
10/29/2007
Last updated
01/22/2020
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