Individual
DR. JACQUELYN G LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
31800 NORTHWESTERN HWY STE 120, FARMINGTON HILLS, MI 48334-1663
(248) 539-8446
(248) 539-8447
Mailing address
PO BOX 2120, FARMINGTON HILLS, MI 48333-2120
(248) 539-8446
(248) 539-8447
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
35054104
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
JL4301055419
MI
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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