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Individual

DEBORAH W LOCKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3350 BERKMAR DR, CHARLOTTESVILLE, VA 22901-1491
(434) 923-4651
Mailing address
3350 BERKMAR DRIVE, CHARLOTTESVILLE, VA 22901
(434) 923-4651
(434) 964-3636

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101054255
VA
207NS0135X
Procedural Dermatology Physician
0101054255
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005900344
VIRGINIA PREMIER
VA
05
005900344
VA
01
070015380
MEDICARE RAILROAD
VA
01
09102900001
SOUTHERN HEALTH
VA
01
140450
ANTHEM BC/BS
VA
01
700021771
CIGNA
VA
Enumeration date
03/29/2006
Last updated
06/28/2013
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