Individual
DR. CAROL ANNE LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19675 7TH ST E, SONOMA, CA 95476-7202
(786) 498-9268
(305) 503-9499
Mailing address
840 S RANCHO DR, APT 4-618, LAS VEGAS, NV 89106-3837
(786) 498-9268
(305) 503-9499
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G73221
CA
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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