| Mrs Lacey Marie Becker, RD | |
|
1215 Tibbals St, Holdrege, NE 68949-1261 | |
| (308) 995-2881 | |
| Not Available |
| Full Name | Mrs Lacey Marie Becker |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |