MEDICARE: BEVERLY REDSAR LAMPILA PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0010-07914	NC

General Provider Information

NPI Number	:	1225373269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY REDSAR LAMPILA PA-C

Provider Business Mailing Address
First Line	:	DUKE UNIVERSITY MEDICAL CTR
Second Line	:	DUMC 3474
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-620-4467
Fax Number	:

Provider Business Practice Location Address
First Line	:	DUKE UNIVERSITY MEDICAL CTR
Second Line	:	DUMC 3474
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-620-4467
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2012
Last Update Date	:	12/16/2025

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