Individual
LOWELL LESTER BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 DELLWOOD ST S, CAMBRIDGE, MN 55008-1920
(763) 689-7700
(763) 689-7941
Mailing address
2925 CHICAGO AVE, MR 10017, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
19537
MN
208000000X
Pediatrics Physician
19537
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237382300
—
MN
Enumeration date
03/31/2006
Last updated
10/19/2011
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