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NPI Code Detail

MEDICARE: ZOE LOCKRIDGE

MEDICARE: ZOE LOCKRIDGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1184507329
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOE LOCKRIDGE
Provider Business Mailing Address
First Line : PO BOX 227
Second Line :
City : EASTPOINTE
State : MI
Zip : 48021-0227
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8633 SOUTHFIELD FWY
Second Line :
City : DETROIT
State : MI
Zip : 48228-1975
Country : US
Telephone Number : 313-296-1170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2025
Last Update Date : 07/28/2025

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Directions to “ ZOE LOCKRIDGE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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