Individual
DR. OLIVIA SHEA LOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27 QUINEBAUG AVE, PUTNAM, CT 06260-1943
(860) 481-2950
(860) 955-2740
Mailing address
PO BOX 111, PUTNAM, CT 06260-0111
(860) 481-2950
(800) 955-2740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41406
TN
207Q00000X
Family Medicine Physician
Primary
53961
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008062229
—
CT
Enumeration date
11/06/2006
Last updated
05/08/2026
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