Search › Michigan › 172V00000X
Jaxon Lockridge
NPI 1275450017 · on the registry since 2026
Practice
- Address
- 22206 W Warren Ave
Redford, MI 48239 - Phone
- (313) 804-8635
- Organisation at this address
- Michigan Warriors
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Sex
- Male
- Record last updated
- 2026-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan