MEDICARE: DR. JAMES BISHOP LOCKHART JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	9463	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2669947001	OTHER	OK	CIGNA
2	730760319008	OTHER	OK	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	2346293	OTHER	OK	AETNA

General Provider Information

NPI Number	:	1578568275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES BISHOP LOCKHART JR. M.D.

Provider Business Mailing Address
First Line	:	2448 E 81ST ST
Second Line	:	SUITE 1100
City	:	TULSA
State	:	OK
Zip	:	74137-4250
Country	:	US
Telephone Number	:	918-505-3400
Fax Number	:	918-508-7070

Provider Business Practice Location Address
First Line	:	2448 E 81ST ST
Second Line	:	SUITE 1100
City	:	TULSA
State	:	OK
Zip	:	74137-4230
Country	:	US
Telephone Number	:	918-505-3400
Fax Number	:	918-508-7070

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	03/19/2015

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Directions to “ DR. JAMES BISHOP LOCKHART JR. M.D.” Practice Location

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