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Individual

LYNWOOD LOCKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1403 WALL STREET, CULLMAN, AL 35055-0000
(256) 734-9472
(256) 734-9272
Mailing address
PO BOX 822, CULLMAN, AL 35056-0822
(256) 734-9472
(256) 734-9272

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1016411
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000077000
AL
Enumeration date
01/24/2006
Last updated
10/04/2010
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