Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | H0053123 | MD |
N | 207VG0400X | Gynecologist | H0053123 | MD |
NPI | 1043334808 |
---|---|
Provider Name | Dr. Ernest Gordon Lockrow |
First Address | Bethesda, MD 20889-0001 |
Second Address | Bethesda, MD 20889-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 28/04/2017 |