person
Kristin J Lockrem, PA-C
Medical Physician Assistant in Gobles, Michigan
NPI 1467421008

Kristin J Lockrem is a Medical Physician Assistant based in Allegan, MI and is specialized in Medical. Kristin J Lockrem practices in Gobles, MI and has the professional credentials of PA-C. The NPI Number for Kristin J Lockrem is 1467421008 and holds a License No. 5601003243 (Michigan).

The current practice location address for Kristin J Lockrem is 406 N State St, Gobles, MI and can be reached out via phone at 269-628-2196 and via fax at 269-628-2363.

Location: 406 N State St, Gobles, MI, 49010-1595
person
Provider Profile Details
NPI Number
1467421008
Provider Name
Kristin J Lockrem
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
406 N State St, Gobles, MI, 49010-1595
Phone Number
269-628-2196
Fax Number
269-628-2363
Provider Enumeration Date
03/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
KM003243 01 MI BCBS MI
003243 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
406 N State St
City
State
Zip
49055-9717
Phone Number
269-628-2196
Fax Number
269-628-2363
person
Provider Business Mailing Address Details
Address
406 N State St
City
State
Zip
49055-9717
Phone Number
269-628-2196
Fax Number
269-628-2363
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601003243 (Michigan)
Definition
Definition to come...
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