Richard E Lockard MD PC

Organization Active NPI Family Medicine Physician · Elkton, MI

NPI 1457543316 · NPPES record last updated Mar 26, 2009

Key facts

NPI
1457543316
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
RL040876 (MI)
Legal business name
RICHARD E LOCKARD MD PC
Practice address
6 N Main Street
Elkton, MI 48731
Phone
(989) 375-4371
NPI assigned
Aug 15, 2007
Organization subpart
No

Authorized official

Name
Mr. Richard Lockard, MD
Title
Director
Phone
(989) 375-4371

National Provider Directory

Locations

1116 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-6425

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X RL040876 MI Yes

Addresses

Primary practice location

6 N Main Street
Elkton, MI 48731

Mailing address

6 N Main Street
Elkton, MI 48731
Phone (989) 375-4371

Other identifiers

IdentifierTypeStateIssuer
105197482MedicaidMI
0321034OtherMIBCBS

Other providers in Elkton, MI

All providers in Elkton, MI · Family Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.