Lockman, Justin Lawrence
Lockman, Justin Lawrence is an individual health care provider with primary practice located at 3401 Civic Center Blvd Ste 9329 , Philadelphia PA 19104-4319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Lockman, Justin Lawrence can be contacted via phone (215) 590-1858.Contact Information
Primary practice address
3401 Civic Center Blvd Ste 9329
Philadelphia PA 19104-4319
Phone: (215) 590-1858
Fax: (215) 590-1415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | MD442301 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MD442301 | Pennsylvania |
Profile Details
| NPI number | 1114065497 |
|---|---|
| LBN Legal business name | Lockman, Justin Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Dec 28th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114065497 | NPPES |
| Pennsylvania | Other | 221556EMD | MEDICARE PTAN |
| Pennsylvania | MEDICAID | 1025929790001 | MEDICARE PTAN |
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