Individual
FREDERICK LUNDRY LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12902 USF MAGNOLIA DR, FOB-3, TAMPA, FL 33612-9416
(813) 745-3509
(813) 745-8468
Mailing address
12902 USF MAGNOLIA DR, FOB-3, TAMPA, FL 33612-9416
(813) 745-3509
(813) 745-8468
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036116059
IL
207RH0003X
Hematology & Oncology Physician
Primary
ME108049
FL
Other
Enumeration date
06/26/2008
Last updated
12/14/2012
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