Individual
LINDA LOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 STATE HIGHWAY J, HAYTI, MO 63851-1200
(573) 359-2600
Mailing address
500 STATE HIGHWAY J, HAYTI, MO 63851-1200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2008021172
MO
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
2008021172
MO
163WN1003X
Nutrition Support Registered Nurse
2008021172
MO
163WP0000X
Pain Management Registered Nurse
2008021172
MO
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
2008021172
MO
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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