Individual
DR. RICHARD MARK LOCHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1102 CRESTWOOD CIR, MENA, AR 71953-5513
(479) 394-7301
(479) 394-7160
Mailing address
1102 CRESTWOOD CIR, MENA, AR 71953-5513
(479) 394-7301
(479) 394-7160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-7308
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080127748
RAILROAD MEDICARE
AR
05
—
100077250 A
—
OK
05
—
117282001
—
AR
01
—
200693200
USDF NUMBER
AR
01
—
390989
HEALTHLINK
AR
01
—
53482
BCBS PROVIDER #
AR
01
—
7879080P01
CIGNA
AR
01
—
P03477
NOVASYS
AR
Enumeration date
02/23/2006
Last updated
10/06/2020
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