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Mrs. LUCILLE LEVINIA BECKER DT, DO

Individual Provider (NPI-1) Active

Denturist

Provider Information

NPI Number
1770078685
Provider Type
Individual Provider (NPI-1)
Credentials
DT, DO
Status
Active

Contact & Location

Address
155 N UMPQUA ST, SUTHERLIN, OR, 974799567
Phone
(541) 837-1717

Specialties & Taxonomies

Denturist License: OR #DT-TMP-10192123
Denturist Primary License: OR #DT-DO-10193177

All Addresses

MAILING

PO BOX 8075

COBURG, OR, 974081301

LOCATION

155 N UMPQUA ST

SUTHERLIN, OR, 974799567

(541) 837-1717