LOCKLAB PROVIDER GROUP, LLC

SALEM, OR
NPI1376472910
Entity TypeOrganization
Authorized ContactBOBBY DESAI
President
305-425-9125
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2026-05-19
Last Update Date2026-05-19
Business Address
LOCKLAB PROVIDER GROUP, LLC
780 COMMERCIAL ST SE STE 100
SALEM, OR 97301-3465
Phone number: 305-425-9125
Mailing Address
LOCKLAB PROVIDER GROUP, LLC
10260 SW GREENBURG RD STE 400
PORTLAND, OR 97223-5514
Phone number: 305-425-9125
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