Individual
JENESSA ANN LOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
101 JORDAN CREEK PKWY, SUITE 12190, WEST DES MOINES, IA 50266-8181
(515) 267-1312
Mailing address
101 JORDAN CREEK PKWY STE 12190, WEST DES MOINES, IA 50266-8128
(515) 339-1836
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02378
IA
Other
Enumeration date
10/17/2006
Last updated
09/06/2024
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