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Individual

ROBERT J LOCK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2535 HARRISON AVENUE, EUREKA, CA 95501-3220
(707) 268-8718
(707) 268-8008
Mailing address
2535 HARRISON AVE, EUREKA, CA 95501-3220
(707) 268-8718
(707) 268-8008

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G51176
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G511760
CA
Enumeration date
11/10/2005
Last updated
07/08/2007
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