Michelle Lock-gooch, RD, LD is a
Dietitian, Registered based in Liberal, Kansas. Michelle Lock-gooch is licensed to practice in Kansas (license number 783) and her current practice location is
1140 S Pershing Ave, Liberal, Kansas. She can be reached at her office (for appointments etc.) via phone at
(620) 626-5672.
NPI number for Michelle Lock-gooch is 1356523302 and her current mailing address is 1140 S Pershing Ave, Liberal, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356523302.
Healthcare Provider's Profile
| Full Name | Michelle Lock-gooch |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 1140 S Pershing Ave, Liberal, Kansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356523302
- Provider Enumeration Date: 12/01/2007
- Last Update Date: 09/28/2015
Medical Identifiers
Medical identifiers for Michelle Lock-gooch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356523302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 783 (Kansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Lock-gooch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Michelle Lock-gooch, RD, LD 1140 S Pershing Ave, Liberal, KS 67901-4519 Ph: (620) 626-5672 | Michelle Lock-gooch, RD, LD 1140 S Pershing Ave, Liberal, KS 67901-4519 Ph: (620) 626-5672 |
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