Individual
DR. YING JIE LOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 793-2930
(401) 793-2953
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 793-2930
(401) 793-2953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LP06035
RI
390200000X
Student in an Organized Health Care Education/Training Program
LP06035
RI
Other
Enumeration date
06/09/2023
Last updated
06/23/2023
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