Becker, Lance J

Becker, Lance J is an individual health care provider with primary practice located at 1304 Fawcett Ave Ste 100 , Tacoma WA 98402-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Becker, Lance J can be contacted via phone (253) 761-4200.

Contact Information

Primary practice address
1304 Fawcett Ave Ste 100 Tacoma WA 98402-1900
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD61561453 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD073439L Pennsylvania

Profile Details

NPI number 1093709552
LBN Legal business name Becker, Lance J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Aug 29th, 2024 - about 2 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 1093709552 NPPES
Pennsylvania MEDICAID 1843900

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