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NPI Code Detail

MEDICARE: DR. BEVERLY A LENSE M.D.

MEDICARE:  DR. BEVERLY A LENSE  M.D.
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
1208000000XPediatrics PhysicianME116906FL

Other Identifiers

General Provider Information

NPI Number : 1558352468
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BEVERLY A LENSE M.D.
Provider Business Mailing Address
First Line : 4137 HUNTERS PARK LN
Second Line :
City : ORLANDO
State : FL
Zip : 32837-7669
Country : US
Telephone Number : 407-261-2934
Fax Number : 407-636-7811
Provider Business Practice Location Address
First Line : 1502 N DONNELLY ST STE 103
Second Line :
City : MOUNT DORA
State : FL
Zip : 32757-2846
Country : US
Telephone Number : 352-383-0624
Fax Number : 352-383-0758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 10/09/2025

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Directions to “ DR. BEVERLY A LENSE M.D.” Practice Location

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