Individual
TAYLOR LOCKRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
8633 SOUTHFIELD FWY, DETROIT, MI 48228-1975
(313) 804-8635
Mailing address
22430 GRATIOT AVE UNIT 227, EASTPOINTE, MI 48021-7011
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/19/2025
Last updated
09/25/2025
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