Provider Demographics
NPI:1437197746
Name:LORELL, BEVERLY HALL (MD)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:HALL
Last Name:LORELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WINDING RIVER RD
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-1025
Mailing Address - Country:US
Mailing Address - Phone:781-237-7241
Mailing Address - Fax:
Practice Address - Street 1:1700 PENNSYLVANIA AVE NW
Practice Address - Street 2:KING & SPALDING, FDA LIFE SCIENCES GROUP
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-4700
Practice Address - Country:US
Practice Address - Phone:202-383-8937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2013-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA42092207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease