Individual
PETER E LOCKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2780
Mailing address
PO BOX 9300, PADUCAH, KY 42002-9300
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD25356
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216403
BCBS
KY
05
—
64253560
—
KY
Enumeration date
09/29/2006
Last updated
12/06/2013
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