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NPI Code Detail

MEDICARE: LAUREN BECKMANN

MEDICARE: LAUREN BECKMANN
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
1363A00000XPhysician Assistant10005037AIN

General Provider Information

NPI Number : 1922989367
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN BECKMANN
Provider Business Mailing Address
First Line : 11109 PARKVIEW PLAZA DR # 117
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 306 E MAUMEE ST STE 201
Second Line :
City : ANGOLA
State : IN
Zip : 46703-2035
Country : US
Telephone Number : 260-667-2700
Fax Number : 260-667-2611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2025
Last Update Date : 12/11/2025

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Directions to “ LAUREN BECKMANN ” Practice Location

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