Individual
DR. GRETCHEN D LOCKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13911 ST FRANCIS BLVD STE 101, MIDLOTHIAN, VA 23114
(804) 320-3999
(804) 423-9929
Mailing address
13911 ST FRANCIS BLVD STE 101, MIDLOTHIAN, VA 23114-3256
(804) 320-3999
(804) 423-9929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00040445
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4052LO
REGENCE BLUE SHIELD
WA
05
—
8295842
—
WA
Enumeration date
05/15/2006
Last updated
08/06/2018
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