MR. CLYDE LOCKETT JR.
Contractor
Active
Individual
NPI: 1174291520
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Driver | 172A00000X | No | - |
| Contractor | 171W00000X | Yes | - |
Frequently Asked Questions
NPI 1174291520 is the National Provider Identifier for MR. CLYDE LOCKETT JR., a Contractor provider located in South Bend, IN. This NPI was enumerated on September 1, 2021.
MR. CLYDE LOCKETT JR. practices at 1251 N EDDY ST STE 200, South Bend, IN 46617.
Quick Facts
- NPI
- 1174291520
- Type
- Individual
- Enumerated
- Sep 1, 2021
- Last Updated
- Sep 1, 2021
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