Travis Allen Wayne Lockner

NPI #1790077105 in Bristol, Tennessee

Provider Information

NPI Number
1790077105
Entity Type
Individual
Name
Travis Allen Wayne Lockner
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
May 4, 2011
Last Updated
May 4, 2011

Practice Location

Address
26 MIDWAY ST
ZIP Code
37620-1706
Phone
(423) 989-4500

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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