Individual
JOSEPH B. LOCKRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD167613
OR
207RN0300X
Nephrology Physician
A116428
CA
207RN0300X
Nephrology Physician
M-12991
ID
207RN0300X
Nephrology Physician
Primary
MD167613
OR
207RN0300X
Nephrology Physician
N8418
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2008
Last updated
08/13/2024
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