Individual
LOIS JEAN BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10133 MARGO ST, LA VISTA, NE 68128-2300
(402) 597-4787
Mailing address
10133 MARGO ST, LA VISTA, NE 68128-2300
(402) 597-4787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26642
NE
207Q00000X
Family Medicine Physician
3985
SD
Other
Enumeration date
04/13/2006
Last updated
06/30/2014
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