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Individual

BECKY J LEASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6207024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
318L9LE
BCBS OF MN
05
40322600
WI
01
6406390
MEDICA INS
01
HP48014
HEALTH PARTNERS
Enumeration date
12/05/2006
Last updated
05/19/2026
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