Individual
CARNELL LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14600 ROSEMARY BLVD, OAK PARK, MI 48237-1934
(248) 219-4322
Mailing address
14600 ROSEMARY BLVD, OAK PARK, MI 48237-1934
(248) 219-4322
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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