Individual
JERREL R LOCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9631 N NEVADA ST, STE 300, SPOKANE, WA 99218-1193
(509) 489-4040
(509) 489-9190
Mailing address
406 E ROWAN AVE, SUITE 200, SPOKANE, WA 99207-1243
(509) 489-4040
(509) 489-9190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00016127
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1289503
—
WA
01
—
1386746485
NPI
WA
01
—
15743
L I
—
01
—
756111858
TRAV MEDICARE
WA
01
—
91-2038205
FEDERAL ID
WA
Enumeration date
09/01/2006
Last updated
02/13/2017
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