Organization
PRISM PHYSIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORINNE LOCKE MD (PHYSICIAN)
(301) 366-1030
Entity
Organization
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(301) 366-1030
Mailing address
304 MOUNTAINVIEW DR, CHARLOTTE, NC 28270-2710
(301) 366-1030
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DR.0056996
CO
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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