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Individual

HEATHER T LOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
2310 N CHERRY ST STE 200, SPOKANE VALLEY, WA 99216-1152
(509) 993-6393
(928) 223-6393
Mailing address
2310 N CHERRY ST STE 200, SPOKANE VALLEY, WA 99216-1152
(509) 993-6393
(928) 223-6393

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00015750
WA

Other

Enumeration date
06/18/2009
Last updated
06/18/2009
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