# LORI BECK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164400917
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4704190306 | MI | Yes |

## Other

- **Enumeration date:** 01/03/2006
- **Last updated:** 06/25/2015

## 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 |