Doctor Name: | DR. CECILE CRANE LOCKE |
NPI Number: | 1003024225 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 01026297A |
Business Practice Address: | 33 Metsker Ln Noblesville, IN - 460628921 |
Business Phone Number: | 3177700540 |
Business Fax Number: | |
Mailing Address: | 109 Royal Pine Ln, CICERO |
State: | IN |
Postal Code: | 460349691 |
Phone Number: | 3178773438 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01026297A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |