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NPI Code Detail

MEDICARE: DEBORAH LOCKE PA

MEDICARE: DEBORAH LOCKE PA
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
1363A00000XPhysician Assistant5493AZ
2363AM0700XMedical Physician Assistant5493AZ
3363AM0700XMedical Physician Assistant016897-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942637103
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH LOCKE PA
Provider Business Mailing Address
First Line : 261 N ROOSEVELT AVE
Second Line :
City : CHANDLER
State : AZ
Zip : 85226-2617
Country : US
Telephone Number : 480-677-8282
Fax Number : 888-316-1686
Provider Business Practice Location Address
First Line : 9900 S RURAL RD
Second Line :
City : TEMPE
State : AZ
Zip : 85284-4116
Country : US
Telephone Number : 480-783-6257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2013
Last Update Date : 06/12/2026

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Directions to “ DEBORAH LOCKE PA” Practice Location

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