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NPI Code Detail

MEDICARE: GEORGE LOCKIE

MEDICARE: GEORGE LOCKIE
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
12080P0216XPediatric Rheumatology PhysicianG18029CA

General Provider Information

NPI Number : 1518413558
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE LOCKIE
Provider Business Mailing Address
First Line : 100 HOLLAND GLN
Second Line : APT 101
City : ESCONDIDO
State : CA
Zip : 92026-1354
Country : US
Telephone Number : 760-743-7833
Fax Number :
Provider Business Practice Location Address
First Line : 100 HOLLAND GLN
Second Line : APT 101
City : ESCONDIDO
State : CA
Zip : 92026-1354
Country : US
Telephone Number : 760-743-7833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2016
Last Update Date : 08/30/2016

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Directions to “ GEORGE LOCKIE ” Practice Location

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