Organization
WELLNESS LOCKER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA SHEA LOCKER MD (PROPRIETOR / OWNER)
(860) 481-2950
Entity
Organization
Contact information
Practice address
27 QUINEBAUG AVE, PUTNAM, CT 06260-1943
(860) 481-2950
(860) 955-2740
Mailing address
PO BOX 111, PUTNAM, CT 06260-0111
(860) 481-2950
(860) 955-2740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53961
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008062229
—
CT
Enumeration date
10/12/2015
Last updated
05/08/2026
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