Individual
LORI J BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11645 ILLINOIS ST, CARMEL, IN 46032-3320
(317) 688-5155
Mailing address
7229 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1698
(317) 621-4300
(317) 621-4301
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001752A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000759213
ANTHEM
IN
05
—
200290210
—
IN
01
—
7833766
AETNA
IN
01
—
P00840402
MEDICARE RR
IN
Enumeration date
02/07/2006
Last updated
05/13/2025
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