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Individual

DR. THOMAS JAMES LOCKHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-2190
(314) 454-2296
Mailing address
660 S EUCLID AVE, C B 8054, SAINT LOUIS, MO 63110-1010
(314) 454-2190
(314) 454-2296

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2009010053
MO
207LP3000X
Pediatric Anesthesiology Physician
Primary
2009010053
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200503940 A
OK
05
200975100A
KS
Enumeration date
07/30/2007
Last updated
11/03/2015
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