Individual
MISTY LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1615 CHAPTICO RD, SOUTH HILL, VA 23970-4803
(434) 262-2974
Mailing address
1615 CHAPTICO RD, SOUTH HILL, VA 23970-4803
(434) 262-2974
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002075643
VA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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