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Individual

DR. EDWARD HENRY LOCKHART III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2609 RAPIDS DR, RACINE, WI 53404-1741
(262) 638-9999
(262) 638-0742
Mailing address
2609 RAPIDS DR, RACINE, WI 53404-1741
(262) 638-9999
(262) 638-0742

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5357-12
WI

Other

Enumeration date
06/01/2018
Last updated
06/01/2018
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