Individual
LISA ANN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0002
(585) 275-7546
(585) 461-3509
Mailing address
601 ELMWOOD AVE, BOX 697, ROCHESTER, NY 14642-0002
(585) 275-7546
(585) 461-3509
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
239322
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02772663
—
NY
Enumeration date
04/20/2006
Last updated
07/05/2023
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