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Individual

DR. JOHN D LOCKENOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
08000588A
IN
111NX0800X
Orthopedic Chiropractor
Primary
9104
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100165920
IN
Enumeration date
11/21/2005
Last updated
01/26/2009
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