Individual
DR. DENNIS G. LOCKREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1443
(765) 463-6262
(765) 463-9122
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7241
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
01038186
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101340
—
IN
Enumeration date
07/19/2006
Last updated
04/22/2014
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