Individual
MS. CAROL MARIE LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
303 JEFFERSON AVE, FAIRPORT, NY 14450-2313
(585) 421-2187
(585) 421-8310
Mailing address
303 JEFFERSON AVE, FAIRPORT, NY 14450-2313
(585) 421-2187
(585) 421-8310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
351017
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JEFFERSON
—
NY
Enumeration date
01/11/2013
Last updated
09/20/2022
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