Locke, Lynwood

Locke, Lynwood is an individual health care provider with primary practice located at 1403 Wall Street , Cullman AL 35055-0000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Locke, Lynwood can be contacted via phone (256) 734-9472.

Contact Information

Primary practice address
1403 Wall Street Cullman AL 35055-0000
Phone: (256) 734-9472
Fax: (256) 734-9272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1016411 Alabama

Profile Details

NPI number 1831169879
LBN Legal business name Locke, Lynwood
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Oct 4th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831169879 NPPES
Alabama MEDICAID 000077000

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