MEDICARE: LORI J BECK PLMHP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	10839	NE

General Provider Information

NPI Number	:	1548812688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI J BECK PLMHP

Provider Business Mailing Address
First Line	:	PO BOX 8548
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68108-0548
Country	:	US
Telephone Number	:	402-213-3573
Fax Number	:

Provider Business Practice Location Address
First Line	:	2723 Q ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68107-3408
Country	:	US
Telephone Number	:	402-715-5440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2019
Last Update Date	:	07/09/2019

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