Provider Demographics
NPI:1275101917
Name:DR BECKY LANSKY DO LLC
Entity Type:Organization
Organization Name:DR BECKY LANSKY DO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:D
Authorized Official - Last Name:LANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:978-580-3502
Mailing Address - Street 1:144 NORTH RD STE 1050
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-1179
Mailing Address - Country:US
Mailing Address - Phone:978-580-3502
Mailing Address - Fax:
Practice Address - Street 1:144 NORTH RD STE 1050
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-1179
Practice Address - Country:US
Practice Address - Phone:978-580-3502
Practice Address - Fax:978-580-3502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-17
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty