Mini Locke, PA-C

NPI 1508913443 · on the registry since 2007

Practice

Address: 305 Montgomery St
Decorah, IA 52101
Phone: (563) 382-8436
Fax: (563) 382-5140
Organisation at this address: County Of Winneshiek
County Of Winneshiek
Northeast Iowa Community Action Corporation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: IA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa