Beck, Lucille S

Beck, Lucille S is an individual health care provider with primary practice located at 3020 Hamaker Ct Suite 102, Fairfax VA 22031-2238. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Beck, Lucille S can be contacted via phone (703) 560-3510.

Contact Information

Primary practice address
3020 Hamaker Ct Suite 102 Fairfax VA 22031-2238
Fax: (703) 876-0253
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101034695 Virginia

Profile Details

NPI number 1356332548
LBN Legal business name Beck, Lucille S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Apr 4th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356332548 NPPES
Virginia MEDICAID 5878829

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