Individual
DONALD RUSSELL LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9401 SW HIGHWAY 200 STE 502, OCALA, FL 34481-9650
(352) 861-2115
(352) 854-5726
Mailing address
PO BOX 773730, OCALA, FL 34477-3730
(352) 861-2115
(352) 854-5726
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME44759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036144500
—
FL
Enumeration date
05/05/2006
Last updated
05/08/2018
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