Courtney Lockhart Mcmickens MD

NPI 1598083560 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1598083560
Gender Female
Enumeration Date 05/14/2010
Last Updated 05/14/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3400 SPRUCE ST
PHILADELPHIA PA, 19104-4206, US
Phone (215) 746-7222
Fax
Business Location
3400 SPRUCE ST
PHILADELPHIA PA, 19104-4206, US
Phone (215) 746-7222
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Pennsylvania
License Number MT197371
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According to our database, Courtney Lockhart Mcmickens MD NPI is 1598083560, taxonomy code is 2084P0800X and license number is MT197371, license state is located at Pennsylvania. Courtney Lockhart Mcmickens MD physically located at 3400 Spruce St, Philadelphia PA, 19104-4206. NPI Number Courtney Lockhart Mcmickens MD has the Individual type.

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1598083560 NPI number is provided on an as is basis without warranty of any kind. 1598083560 is maintained by the National Plan & Provider Enumeration System. The contents of Courtney Lockhart Mcmickens MD are for informational purposes only.