Individual
ALICIA KINTON LOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
848575
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
RN2288353
MA
Other
Enumeration date
01/17/2014
Last updated
04/29/2020
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