Jacqueline Loleta Lock, LMT

NPI #1669687257 in Sunrise, Florida

Provider Information

NPI Number: 1669687257
Entity Type: Individual
Name: Jacqueline Loleta Lock, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LMT
Enumeration Date: May 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5974 NW 29TH PL
City: Sunrise
State: Florida
ZIP Code: 33313-1202
Phone: (954) 478-1341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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