Provider Demographics
NPI:1922444017
Name:LOCK, RACHEL (DO)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:LOCK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1024 FIRST COLONIAL RD
Mailing Address - Street 2:BUILDING 2 SECOND FLOOR
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-3074
Mailing Address - Country:US
Mailing Address - Phone:757-395-2500
Mailing Address - Fax:757-275-9700
Practice Address - Street 1:95 LEONARD AVE
Practice Address - Street 2:BUILDING 2 SECOND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-3368
Practice Address - Country:US
Practice Address - Phone:724-223-3100
Practice Address - Fax:724-223-3353
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2017-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOT015135207Q00000X
VA0102204727207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine