Individual
DR. LAURA NICOLE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-4095
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-4095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2023007603
MO
208000000X
Pediatrics Physician
30430
NE
208D00000X
General Practice Physician
30430
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/29/2016
Last updated
05/22/2023
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