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Individual

MOIRA S. LOCKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
144 SOUTH 'L' ST, DINUBA, CA 93618
(559) 591-6680
(559) 591-4606
Mailing address
PO BOX 2634, PALOS VERDES PENINSULA, CA 90274-8634
(310) 985-4422

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A101543
CA
2084P0800X
Psychiatry Physician
MD-12646
HI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD-12646
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A0251221
HMSA BILLING NUMBER
HI
05
564072-03
HI
Enumeration date
06/09/2006
Last updated
01/26/2024
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