Individual
MRS. SUSAN MARIE LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1603 SHELBY TRCE, MOUNT JULIET, TN 37122-3555
(615) 284-2800
(615) 284-2883
Mailing address
1603 SHELBY TRCE, MOUNT JULIET, TN 37122-3555
(615) 284-2800
(615) 284-2883
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000001634
TN
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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