Individual
KEVIN DONALD LOKKESMOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4328 ARMOUR RD, COLUMBUS, GA 31904-5204
(706) 507-1213
(706) 507-1217
Mailing address
PO BOX 8387, COLUMBUS, GA 31908-8387
(706) 507-1213
(706) 507-1217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
032941
GA
Other
Enumeration date
12/21/2007
Last updated
05/21/2010
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