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Individual

MRS. CHRISTINE E LOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
2200 PHILADELPHIA DR, STE 101, DAYTON, OH 45406-1830
(937) 277-8988
(937) 277-9035
Mailing address
2200 PHILADELPHIA DR, STE 101, DAYTON, OH 45406-1830
(937) 277-8988
(937) 277-9035

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN-153579 , NP-05730
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2266239
OH
Enumeration date
06/22/2005
Last updated
07/08/2007
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