Individual
DIANE LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 486-4472
(508) 486-4474
Mailing address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 486-4472
(508) 486-4474
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
151434
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021544
NHP
MA
01
—
1226445-004
CIGNA
MA
05
—
3191800
—
MA
01
—
792099
TUFTS
MA
01
—
J17041
BCBS
MA
01
—
S2
HPHC
MA
Enumeration date
12/13/2006
Last updated
03/28/2025
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