Individual
TERRENCE R. LOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HOSPITAL FITNESS CN, 6525 SECOND STREET, DETROIT, MI 48202
(313) 972-4200
Mailing address
HENRY FORD HOSPITAL FITNESS CN, 6525 SECOND STREET, DETROIT, MI 48202
(313) 972-4200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301047574
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TL047574
CHAMPUS-CHAMPUS
—
Enumeration date
11/28/2006
Last updated
07/08/2007
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