Individual
DENNIS L LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1008 N MAIN ST, BLOOMINGTON, IL 61701-1784
(309) 829-5311
(309) 827-8027
Mailing address
PO BOX 757, BLOOMINGTON, IL 61702-0757
(309) 829-5311
(309) 827-8027
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
07/12/2006
Last updated
07/09/2007
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