Organization
COUNTY OF MACOMB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN P. LOKAR I M.D. (MEDICAL DIRECTOR)
(586) 469-5512
Entity
Organization
Contact information
Practice address
43525 ELIZABETH ST, MOUNT CLEMENS, MI 48043-1034
(586) 469-5235
(586) 469-5885
Mailing address
43525 ELIZABETH ST, MOUNT CLEMENS, MI 48043-1034
(586) 469-5235
(586) 469-5885
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
4301052675
MI
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
01/19/2006
Last updated
10/02/2023
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