Individual
MRS. SUSAN CASSANDRA LOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, APN
Contact information
Practice address
544 W PERSHING RD, DECATUR, IL 62526-3226
(217) 872-2400
(217) 875-4680
Mailing address
544 W PERSHING RD, DECATUR, IL 62526-3226
(217) 872-2400
(217) 875-4680
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209010598
IL
Other
Enumeration date
07/01/2013
Last updated
01/06/2022
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