Most Relevant Information
Provider Data
| NPI Number: | 1003343567 |
| Provider Name: | LINDA LOCK |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 2008021172 |
Most Important Dates
| Enumeration Date: | 05/16/2017 |
| Last Updated: | 05/16/2017 |
Provider Practice Location
500 STATE HIGHWAY J
HAYTI
MO
638511200
Practice Location Phone/Fax
| Phone: | 5733592600 |
| Fax: |
Provider Mailing Location
500 STATE HIGHWAY J
HAYTI
MO
638511200
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |