Individual
CYNTHIA LOCKERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1717 N HIGH ST, LANSING, MI 48906-4529
(517) 371-1700
(517) 371-4245
Mailing address
803 4TH ST, JACKSON, MN 56143-1056
(507) 847-3571
(507) 847-5664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35741
MN
207Q00000X
Family Medicine Physician
5101011388
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0115319
MEDICA
—
01
—
1063376
MCLAREN HEALTH PLAN
MI
01
—
111661
UCARE MINNESOTA
—
01
—
120002169
PALMETTO GBA RR MEDICARE
—
05
—
1750378758
—
MI
01
—
21394
SIOUX VALLEY HEALTH PLAN
—
01
—
2M018LO
BCBS MINNESOTA
MN
01
—
700B960280
BCBS
MI
05
—
791590000
—
MN
01
—
NA2081015126
PREFERRED ONE
—
Enumeration date
10/04/2005
Last updated
08/17/2021
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