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Individual

ERIN LOCKARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-9403
(215) 225-1698
Mailing address
3801 FILBERT ST, MAB STE 102, PHILADELPHIA, PA 19104
(215) 662-9436

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD427963
PA
208M00000X
Hospitalist Physician
Primary
MD427963
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019478180001
PA
05
1019478180002
PA
05
1019478180003
PA
01
2089044
HIGHMARK BLUE SHIELD
PA
01
2818068000
BCBS OF PA
PA
Enumeration date
10/03/2006
Last updated
01/04/2022
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