Locke Aesthetics Llc | |
1450 E Valley Rd Suite 101 Basalt CO 81621-8304 | |
(970) 279-4111 | |
(970) 927-3915 |
Full Name | Locke Aesthetics Llc |
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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 |
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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 |
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Provider Enumeration Date | 01/28/2009 |
Last Update Date | 01/28/2009 |
Identifier | Type | State | Issuer |
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1497993547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 38023 (Colorado) | Primary |
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