institution
Dr Mukaia Mitchom Lockett Llc
Primary Care Nurse Practitioner in O Fallon, Illinois
NPI 1871189340

Dr Mukaia Mitchom Lockett Llc is a Primary Care Nurse Practitioner based in O Fallon, IL and is specialized in Primary Care. Dr Mukaia Mitchom Lockett Llc practices in O Fallon, IL. The NPI Number for Dr Mukaia Mitchom Lockett Llc is 1871189340 and holds a License No. (Illinois).

The current practice location address for Dr Mukaia Mitchom Lockett Llc is 2 Eagle Ctr Ste 1, O Fallon, IL and can be reached out via phone at 618-606-9119 and via fax at 877-781-4222.

Location: 2 Eagle Ctr Ste 1, O Fallon, IL, 62269-1847
institution
Provider Profile Details
NPI Number
1871189340
Provider Name
Dr Mukaia Mitchom Lockett Llc
Credential
Provider Entity Type
Organization
Address
2 Eagle Ctr Ste 1, O Fallon, IL, 62269-1847
Phone Number
618-606-9119
Fax Number
877-781-4222
Provider Enumeration Date
12/17/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2 Eagle Ctr Ste 1
City
State
Zip
62269-1847
Phone Number
618-606-9119
Fax Number
877-781-4222
person
Provider Business Mailing Address Details
Address
2 Eagle Ctr Ste 1
City
State
Zip
62269-1847
Phone Number
618-606-9119
Fax Number
877-781-4222
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
()
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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