Individual
MR. LUTHER LOCKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCTMB
Contact information
Practice address
520 STOKES RD STE A7, MEDFORD, NJ 08055-2915
(609) 238-8644
(609) 257-0071
Mailing address
520 STOKES RD STE A7, MEDFORD, NJ 08055-2915
(609) 238-8644
(609) 257-0071
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26BT00009100
NJ
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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