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NPI Code Detail

MEDICARE: MARGARET ANN LOCKWOOD LMT, CLT

MEDICARE: MARGARET ANN LOCKWOOD LMT, CLT
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
1225700000XMassage Therapist227-001822IL

General Provider Information

NPI Number : 1528133618
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET ANN LOCKWOOD LMT, CLT
Provider Business Mailing Address
First Line : 1537 N 47TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53208-2241
Country : US
Telephone Number : 773-865-7857
Fax Number :
Provider Business Practice Location Address
First Line : 8500 W NORTH AVE
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-2844
Country : US
Telephone Number : 773-865-7857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2006
Last Update Date : 01/06/2024

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