Individual
LORI K BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4060 S LAKE DR APT 4, ST FRANCIS, WI 53235-5256
(407) 375-3003
(800) 863-5373
Mailing address
200960 DUBAY DR, MOSINEE, WI 54455-7504
(715) 355-7920
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6733-016
WI
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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