Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1700016409 Deactivated / Inactive NPI Female Practitioner

Paula Lock , LPN

Licensed Practical Nurse • Coram, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Paula Lock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 16, 2009
NPI Deactivation Date May 11, 2020
Total Practice Duration ~11 Years of Practice (2009 – 2020)

Professional Overview & Biography Verified Profile Summary

Paula Lock, LPN was a registered Licensed Practical Nurse practicing in Coram, NY. Throughout an active medical career spanning 11 years, Paula Lock provided care at the practice location at 30 CEDAR AVE until profile deactivation on 2020-05-11.

Practice Location & Contact Primary Location

Practice Address

30 Cedar Ave

Coram, NY 117271107

Telephone 6313310393

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Coram, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
111 Specialists

Practicing in Coram, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 263396

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 11, 2020

Record deactivated on May 11, 2020

NPI Profile Active July 16, 2009

NPI status registered as active in NPPES database

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Updated Practice Location July 16, 2009

Registered at 30 CEDAR AVE, CORAM, NY 117271107 (Tel: 6313310393)

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Updated Business Mailing Address July 16, 2009

Registered at 30 CEDAR AVE, CORAM, NY 117271107 (Tel: 6313310393)

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Provider Name / Credentials Updated July 16, 2009

Recorded as PAULA LOCK, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2009

Licensed Practical Nurse (License #263396 in NY)

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Initial NPI Registration & Enumeration July 16, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700016409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2009
Last Update: July 16, 2009
Deactivation Date: May 11, 2020

Mailing Address

30 Cedar Ave

Coram, NY 117271107

Phone: 6313310393

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.