Individual
DALE A LOCKHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1870 BAGNELL DAM BLVD, LAKE OZARK, MO 65049
(573) 365-2318
(573) 365-3009
Mailing address
105 E WASHINGTON ST, KENNETT, MO 63857-2041
(873) 888-1137
(573) 888-0920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2000150390
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204980916
—
MO
Enumeration date
10/12/2005
Last updated
12/17/2018
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