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NPI Code Detail

MEDICARE: DR. DAVID A LOCKSHAW DO

MEDICARE:  DR. DAVID A LOCKSHAW  DO
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
1207Q00000XFamily Medicine Physician34004326OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396728523
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID A LOCKSHAW DO
Provider Business Mailing Address
First Line : 296 E MANOR AVE
Second Line :
City : STRUTHERS
State : OH
Zip : 44471-1545
Country : US
Telephone Number : 330-755-3233
Fax Number : 330-755-4511
Provider Business Practice Location Address
First Line : 296 E MANOR AVE
Second Line :
City : STRUTHERS
State : OH
Zip : 44471-1545
Country : US
Telephone Number : 330-755-3233
Fax Number : 330-755-4511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 06/22/2010

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Directions to “ DR. DAVID A LOCKSHAW DO” Practice Location

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