Individual
DR. LILLIAN LOCKETT ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1717 S J ST, MS 01-38, TACOMA, WA 98405-4933
(979) 292-5012
(713) 668-0469
Mailing address
3534 ELMRIDGE ST, HOUSTON, TX 77025-4112
(979) 292-5012
(713) 668-0469
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
J1463
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
MD 60435457
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034120801
—
TX
Enumeration date
01/10/2007
Last updated
06/04/2014
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