Individual
CHERYL ANNAMARIA LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA III
Contact information
Practice address
94 MAIN STREET, ST. MICHAEL, AK 99659-0094
(907) 923-3311
(907) 923-2287
Mailing address
94 MAIN STREET, ST. MICHAEL, AK 99659-0094
(907) 923-3311
(907) 923-2287
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
12-1180-III
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-1180-III
CHA III
AK
Enumeration date
08/28/2012
Last updated
08/28/2012
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