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Individual
LORI BECK
Active
Individual
LORI BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704190306
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4335440
—
MI
05
—
10-4335459
—
MI
05
—
10-4335468
—
MI
05
—
10-4335477
—
MI
05
—
10-4335486
—
MI
05
—
10-4584196
—
MI
05
—
11-4941501
—
MI
05
—
11-4941510
—
MI
05
—
11-4941520
—
MI
05
—
11-4941539
—
MI
01
—
5008667510
BCBS
MI
Enumeration date
01/03/2006
Last updated
06/25/2015
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