Individual
LISA LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 S MAIN ST STE 2D, CHEBOYGAN, MI 49721-2220
(855) 480-2490
Mailing address
740 S MAIN ST STE 2D, CHEBOYGAN, MI 49721-2220
(855) 480-2490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
47042966915
MI
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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