Individual
LAWRENCE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2590 MAIN ST, STRATFORD, CT 06615-5838
(203) 377-5988
(203) 380-0531
Mailing address
2590 MAIN ST, STRATFORD, CT 06615-5838
(203) 377-5988
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
026337
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012633725
—
CT
Enumeration date
06/23/2006
Last updated
05/06/2019
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