Individual
DR. CURTIS MAJOR LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29101 HEALTH CAMPUS DR, BUILDING 2 SUITE 155, WESTLAKE, OH 44145-5270
(440) 892-5794
(440) 892-5798
Mailing address
29101 HEALTH CAMPUS DR, BUILDING 2 SUITE 155, WESTLAKE, OH 44145-5270
(440) 892-5794
(440) 892-5798
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35061982
OH
2086S0129X
Vascular Surgery Physician
Primary
35-06-1982
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0938196
—
OH
01
—
0994110001
DMERC #
OH
05
—
2272820
—
OH
01
—
34-1853963A11
ANTHEM #
OH
01
—
770001777
RR MEDICARE #
OH
Enumeration date
08/03/2005
Last updated
11/22/2019
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