Healthcare Provider Details

I. General information

NPI: 1942825260
Provider Name (Legal Business Name): LAUREN NANCY BECK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN NANCY RIDGWAY MD

II. Dates (important events)

Enumeration Date: 06/11/2020
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 E THOMAS RD
PHOENIX AZ
85016-7710
US

IV. Provider business mailing address

1919 E THOMAS RD
PHOENIX AZ
85016-7710
US

V. Phone/Fax

Practice location:
  • Phone: 602-933-1000
  • Fax:
Mailing address:
  • Phone: 602-933-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number69359
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: