Laurie Lu Behm MD, LLC

Key facts

NPI

1184644635

Entity type

Organization (NPI type 2)

Primary specialty

Physical Medicine & Rehabilitation Physician 208100000X

License

102828 (MO)

Legal business name

LAURIE LU BEHM MD, LLC

Practice address

1905 W 32ND St Ste 403
Joplin, MO 64804-1501

Phone

(417) 782-5500

Fax

(417) 782-8516

NPI assigned

Jul 20, 2006

Organization subpart

No

Authorized official

Name

Laurie Lu Behm, MD NPI 1366493934

Title

President

Phone

(417) 782-5500

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurie L Behm, MD Physical Medicine & Rehabilitation Physician · Joplin, MO · NPI 1366493934
  NPD (past) Authorized official PHYSICAL MEDICINE & REHABILITATION

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 9, 2007.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1184644635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W 32ND ST STE 403",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041501",
            "telephone_number": "417-782-5500",
            "fax_number": "417-782-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W 32ND ST STE 403",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041501",
            "telephone_number": "417-782-5500",
            "fax_number": "417-782-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE LU BEHM MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "BEHM",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "LU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-782-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "102828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF5482",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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