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Individual

DR. LOREN MICHAEL BEEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4741 S COCHISE DR, INDEPENDENCE, MO 64055-6974
(816) 478-1230
(816) 350-4585
Mailing address
4801 S CLIFF AVE, SUITE 100, INDEPENDENCE, MO 64055-7015
(816) 478-1230
(816) 350-4585

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2016008476
MO
152W00000X
Optometrist
573
NM
152W00000X
Optometrist
Primary
OPT-2522
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
16821092
CO
01
840851676009
ROCKY MOUNTAIN HEALTH PLANS
Enumeration date
04/29/2006
Last updated
05/12/2016
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