Individual
MS. JESSICA JOAN LOCKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK ST, HUNTER 4, NEW HAVEN, CT 06510-3220
(203) 688-2615
(203) 497-0639
Mailing address
180 DWIGHT STREET, APARTMENT 2, NEW HAVEN, CT 06511-4503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2804
CT
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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