Individual
LISA H BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2829 VIRGINIA AVE, NARROWS, VA 24124-2369
(540) 726-7900
Mailing address
606 OWENS ST, BLACKSBURG, VA 24060-7223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-840666
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010208165
—
VA
05
—
010208181
—
VA
Enumeration date
11/22/2005
Last updated
05/14/2008
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