| Locke Aesthetics Llc | |
|
1450 E Valley Rd Suite 101 Basalt CO 81621-8304 | |
| (970) 279-4111 | |
| (970) 927-3915 |
| Full Name | Locke Aesthetics Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1450 E Valley Rd, Basalt, Colorado |
| Authorized Official Name and Position | Kelly Locke (OWNER) |
| Authorized Official Contact | 9702794111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Locke Aesthetics Llc 1450 E Valley Rd Suite 101 Basalt CO 81621-8304 Ph: (970) 279-4111 | Locke Aesthetics Llc 1450 E Valley Rd Suite 101 Basalt CO 81621-8304 Ph: (970) 279-4111 |
| NPI Number | 1497993547 |
|---|---|
| Provider Enumeration Date | 01/28/2009 |
| Last Update Date | 01/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497993547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38023 (Colorado) | Primary |
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