Individual
DALE RODNEY LOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11700 N MERIDIAN ST, CARMEL, IN 46032-4656
(317) 880-3900
(317) 880-0545
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002852A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/25/2019
Last updated
09/26/2022
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