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Individual

LUCILLE S BECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
3020 HAMAKER CT, SUITE 102, FAIRFAX, VA 22031-2238
(703) 560-3510
(703) 876-0253
Mailing address
3020 HAMAKER CT, SUITE 102, FAIRFAX, VA 22031-2238
(703) 560-3510
(703) 876-0253

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101034695
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5878829
VA
Enumeration date
11/04/2005
Last updated
04/04/2008
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