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NPI Code Detail

MEDICARE: JULIE A LOCKEN MD

MEDICARE: JULIE A LOCKEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician10208NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1300134307OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063418358
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE A LOCKEN MD
Provider Business Mailing Address
First Line : PO BOX 7055
Second Line :
City : RENO
State : NV
Zip : 89510-7055
Country : US
Telephone Number : 775-823-1999
Fax Number : 775-823-1966
Provider Business Practice Location Address
First Line : 1155 MILL ST
Second Line :
City : RENO
State : NV
Zip : 89502-1576
Country : US
Telephone Number : 775-982-4160
Fax Number : 775-823-1966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 04/02/2024

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Directions to “ JULIE A LOCKEN MD” Practice Location

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