Individual
MRS. LORI ANN BECKER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
201 3RD AVE, WAYLAND, NY 14572-1232
(585) 728-5743
Mailing address
11034 PFAFF HOLLOW RD, WAYLAND, NY 14572-9528
(585) 213-4044
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
399391-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02071956
—
NY
Enumeration date
03/16/2007
Last updated
07/09/2007
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