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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALLACE LOCKETT

Active

WALLACE LOCKETT is a Case Manager healthcare provider located in MEDINA, Ohio. NPI 1679221584 is currently active in the NPPES registry. Verify at CMS.

Case Manager · MEDINA, OH

Registration Details

NPI Number
1679221584
Provider Type
Individual
Gender
Male
NPI Issued
Mar 10, 2022 (4.4494613740612 yrs)
Last Updated
Jun 15, 2023

Practice Information

Address
1621 MEDINA RD
MEDINA, OH, 442565333
Browse OH providers · Browse ZIP 44256
Phone
3302414365
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in MEDINA, OH

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.