Mrs Lacey Marie Becker, RD | |
1215 Tibbals St, Holdrege, NE 68949-1261 | |
(308) 995-2881 | |
Not Available |
Full Name | Mrs Lacey Marie Becker |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1215 Tibbals St, Holdrege, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821495268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1127 (Nebraska) | Primary |
Provider Name | Phillips County Hospital |
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Provider Type | Part A Provider - Critical Access Hospital |
Provider Identifiers | NPI Number: 1639268246 PECOS PAC ID: 7012231251 Enrollment ID: O20150312000590 |
Provider Name | Phillips County Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366499717 PECOS PAC ID: 7012231251 Enrollment ID: O20150706002040 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lacey Marie Becker, RD 1215 Tibbals St, Holdrege, NE 68949-1261 Ph: (308) 995-2881 | Mrs Lacey Marie Becker, RD 1215 Tibbals St, Holdrege, NE 68949-1261 Ph: (308) 995-2881 |
Mrs. Karen Elaine Bunnell, RD LMNT LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1215 Tibbals St, Holdrege, NE 68949 Phone: 308-995-2881 Fax: 308-995-3223 | |
Phelps Memorial Health Center Dietitian Medicare: Medicare Enrolled Practice Location: 1215 Tibbals St, Holdrege, NE 68949 Phone: 308-995-2211 Fax: 308-995-3367 |