Healthcare Provider Details

I. General information

NPI: 1326129446
Provider Name (Legal Business Name): BEVERLY LORRAINE- ARCHER LINDSAY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BEVERLY LORRAINE ARCHER M.D

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6451 N FEDERAL HWY STE 800
FORT LAUDERDALE FL
33308-1409
US

IV. Provider business mailing address

12305 CHAGALL DR
NORTH POTOMAC MD
20878-3463
US

V. Phone/Fax

Practice location:
  • Phone: 954-343-3050
  • Fax:
Mailing address:
  • Phone: 301-590-8152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberD0040788
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0040788
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: