Organization
W.ERIC LOCH,M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER ERIC LOCH M.D. (PRESIDENT)
(386) 719-9993
Entity
Organization
Contact information
Practice address
4551 W US HIGHWAY 90, SUITE 101, LAKE CITY, FL 32055-8836
(386) 719-9993
(386) 719-4744
Mailing address
4551 W US HIGHWAY 90, SUITE101, LAKE CITY, FL 32055-8835
(386) 719-9993
(386) 719-4744
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME102204
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52026
BLUE CROSS AND BLUE SHIELD
FL
Enumeration date
11/05/2009
Last updated
11/05/2009
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