Individual
MRS. AMY R LOCKHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1057 MEDICAL PARK DR, OSAGE BEACH, MO 65065-3000
(573) 302-3100
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000160888
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205164304
—
MO
Enumeration date
10/13/2005
Last updated
12/20/2024
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