Individual
DR. RONALD LOCKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 BOATNER RD, EGLIN AFB, FL 32542-1302
(850) 833-8500
Mailing address
307 BOATNER RD, EGLIN AFB, FL 32542-1302
(850) 833-8500
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
ME158150
FL
208D00000X
General Practice Physician
Primary
ME158150
FL
390200000X
Student in an Organized Health Care Education/Training Program
R-12258
IA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/05/2021
Last updated
09/22/2023
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