Provider Demographics
NPI:1356490452
Name:LOWERY BECK, M.D. PA
Entity Type:Organization
Organization Name:LOWERY BECK, M.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:E
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-935-1800
Mailing Address - Street 1:PO BOX 19069
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72403-9069
Mailing Address - Country:US
Mailing Address - Phone:870-935-1800
Mailing Address - Fax:870-935-2917
Practice Address - Street 1:3203 METHODIST DRIVE
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72403-9069
Practice Address - Country:US
Practice Address - Phone:870-935-1800
Practice Address - Fax:870-935-2917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty