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Individual

MICHAEL IAN LOCKWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-2476
Mailing address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-2476

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
37520
CA

Other

Enumeration date
02/15/2011
Last updated
11/17/2021
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