Individual
TRAVIS LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
1 SHERMAN ST, PROVIDENCE, RI 02904-1229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LP06337
RI
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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