Individual
AMANDA LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2030 CASS LAKE RD, KEEGO HARBOR, MI 48320-1235
(248) 682-5010
Mailing address
2030 CASS LAKE RD, KEEGO HARBOR, MI 48320-1235
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010649
MI
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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