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Individual

DR. GEORGE KEITH LOCKWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
471 W SOUTH ST STE 41C, KALAMAZOO, MI 49007-4673
(269) 345-8100
(269) 345-8262
Mailing address
471 W SOUTH ST STE 41C, KALAMAZOO, MI 49007-4673
(269) 345-8100
(269) 345-8262

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011315
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
680C946330
BCBS NUMBER
MI
01
P108015
BCN
MI
Enumeration date
01/08/2007
Last updated
07/08/2007
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