Individual
STACY LYNN LOKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR
Contact information
Practice address
3746 ROME DR, LAFAYETTE, IN 47905-4489
(765) 448-8000
(765) 448-8702
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
(765) 448-8335
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003222A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000529049
ANTHEM PROVIDER NUMBER
IN
05
—
200899150
—
IN
Enumeration date
05/09/2007
Last updated
01/25/2010
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