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Individual

ALICE LEE LOCKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
401 6TH AVE, MONTGOMERY, WV 25136-2116
(304) 442-5151
(304) 442-7494
Mailing address
401 6TH AVE, MONTGOMERY, WV 25136-2116
(304) 442-5151
(304) 442-7494

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
47538
WV

Other

Enumeration date
08/27/2010
Last updated
09/21/2011
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