Individual
LAWRENCE MARK LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 765-7000
Mailing address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 765-4800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
67845
GA
208000000X
Pediatrics Physician
MD000000L
PA
Other
Enumeration date
07/21/2006
Last updated
03/10/2016
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