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Individual

DR. EARLE A LOCKHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
12 E 86TH ST, #1031, NEW YORK, NY 10028-0506
(201) 401-4352
Mailing address
12 E 86TH ST, #1031, NEW YORK, NY 10028-0506
(201) 401-4352

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
106954
NY

Other

Enumeration date
02/27/2012
Last updated
02/27/2012
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