Individual
LANCE J BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
Mailing address
PO BOX 3247, EVANSVILLE, IN 47731-3247
(800) 467-2392
(812) 471-6650
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD073439L
PA
2085R0202X
Diagnostic Radiology Physician
MD61561453
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1843900
—
PA
Enumeration date
09/09/2005
Last updated
08/29/2024
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