Individual
MICHELLE LOCK-GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1140 S PERSHING AVE, LIBERAL, KS 67901-4519
(620) 626-5672
Mailing address
1140 S PERSHING AVE, LIBERAL, KS 67901-4519
(620) 626-5672
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
783
KS
Other
Enumeration date
12/01/2007
Last updated
09/28/2015
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