Healthcare Provider Details

I. General information

NPI: 1053533257
Provider Name (Legal Business Name): LAMEITRE CAMILLE LOCKHART-WALKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16001 W 9 MILE RD
SOUTHFIELD MI
48075-4818
US

IV. Provider business mailing address

24270 BLACKSTONE ST
OAK PARK MI
48237-1653
US

V. Phone/Fax

Practice location:
  • Phone: 248-849-3014
  • Fax:
Mailing address:
  • Phone: 248-584-3077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VH0002X
TaxonomyHospice and Palliative Medicine (Obstetrics & Gynecology) Physician
License Number4301086416
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: