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Dr. Melissa Jomarie Lockwood, DPM
Foot & Ankle Surgery Podiatrist in Bloomington, Illinois
NPI 1669664595

Melissa Jomarie Lockwood is a Foot & Ankle Surgery Podiatrist based in Bloomington, IL and is specialized in Foot & Ankle Surgery. Melissa Jomarie Lockwood practices in Bloomington, IL and has the professional credentials of DPM. The NPI Number for Melissa Jomarie Lockwood is 1669664595 and holds a License No. 016.005357 (Illinois).

The current practice location address for Melissa Jomarie Lockwood is 10 Heartland Dr, Bloomington, IL and can be reached out via phone at 309-585-0523. You can also correspond with Melissa Jomarie Lockwood through the mailing address at 1518 BECKENHAM DR, BLOOMINGTON, IL - 61704-7629 (mailing address contact number: 216-392-0677).

Location: 10 Heartland Dr, Bloomington, IL, 61704-7629
person
Provider Profile Details
NPI Number
1669664595
Provider Name
Melissa Jomarie Lockwood
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
10 Heartland Dr, Bloomington, IL, 61704-7629
Phone Number
309-585-0523
Fax Number
Provider Enumeration Date
08/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0732240001 01 DMERC # WITH PPG
016005357 05 IL
institution
Provider Business Practice Location Address Details
Address
10 Heartland Dr
City
State
Zip
61704-7741
Phone Number
309-585-0523
Fax Number
person
Provider Business Mailing Address Details
Address
10 Heartland Dr
City
State
Zip
61704-7741
Phone Number
309-585-0523
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016.005357 (Illinois)
Definition
Definition to come...
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