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Individual

DR. AMY DITTY LOCHOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 MEDICAL CENTER DRIVE, SUITE 3500, HUNTINGTON, WV 25701
(304) 691-1300
(304) 691-1375
Mailing address
1600 MEDICAL CENTER DRIVE, SUITE 3500, HUNTINGTON, WV 25701
(304) 691-1300
(304) 691-1375

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23436
WV
208000000X
Pediatrics Physician
24042
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
240420
SC
05
2985033
OH
05
3810014445
WV
01
576007863102
BCBS OF SC
SC
01
576007863103
BLUE CHOICE OF SC
SC
05
7100073590
KY
01
7133624
CIGNA
SC
01
7384592
AETNA
SC
Enumeration date
05/25/2006
Last updated
12/22/2021
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