Individual
MEGAN DORE LOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12750 ST FRANCIS DR, CROWN POINT, IN 46307-0264
(219) 757-6121
(219) 681-6897
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02006974A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036.157443
IL
208M00000X
Hospitalist Physician
Primary
02006974A
IN
Other
Enumeration date
06/24/2018
Last updated
01/15/2024
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