MEDICARE: ROBERT L LOKEY DC

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
1	111N00000X	Chiropractor	CHIRO02819	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306846019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT L LOKEY DC

Provider Business Mailing Address
First Line	:	3048 NAPIER AVE
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31204-3841
Country	:	US
Telephone Number	:	478-746-3116
Fax Number	:	478-746-2136

Provider Business Practice Location Address
First Line	:	3048 NAPIER AVE
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31204-3841
Country	:	US
Telephone Number	:	478-746-3116
Fax Number	:	478-746-2136

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	12/08/2011

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Directions to “ ROBERT L LOKEY DC” Practice Location

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