Healthcare Provider Details

I. General information

NPI: 1235101783
Provider Name (Legal Business Name): LORI J BECK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORI J LITTLE

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11645 ILLINOIS ST
CARMEL IN
46032-3320
US

IV. Provider business mailing address

7229 CLEARVISTA DR
INDIANAPOLIS IN
46256-1698
US

V. Phone/Fax

Practice location:
  • Phone: 317-688-5155
  • Fax:
Mailing address:
  • Phone: 317-621-4300
  • Fax: 317-621-4301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number71001752A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: