Individual provider · Type 1 NPI

Miriam Locke, MD

Urology Physician · South Lake Tahoe, CA

NPI number 1225455157 Active

Practice location

2169 South Ave
South Lake Tahoe, CA 96150-7059

Fax (530) 213-5241

Mailing address

2170 South Ave
South Lake Tahoe, CA 96150-7008

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XA162641 (CA)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

4 other providers at this address

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About NPI 1225455157

Miriam Locke, MD's National Provider Identifier is 1225455157, issued on Mar 28, 2014. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Jun 24, 2026.