MEDICARE: DR. RICHARD P BEVERLIN

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	207L00000X	Anesthesiology Physician	RN703763	PA

General Provider Information

NPI Number	:	1629750252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD P BEVERLIN

Provider Business Mailing Address
First Line	:	555 N DUKE ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17602-2250
Country	:	US
Telephone Number	:	717-544-4676
Fax Number	:	717-544-7157

Provider Business Practice Location Address
First Line	:	555 N DUKE ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17602-2250
Country	:	US
Telephone Number	:	717-544-4676
Fax Number	:	717-544-7157

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

Provider Enumeration Date	:	08/03/2023
Last Update Date	:	03/11/2026

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