Individual
DR. MEGAN KRISTEN LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1001 HADLEY RD # LL050, MOORESVILLE, IN 46158-1883
(317) 834-3502
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
02007742A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2021
Last updated
07/11/2024
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