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Contact Information

JUSTIN R LOCKREM, MD
900 N JOHN R WOODEN DR
WEST LAFAYETTE, IN47907-2117
 Phone: 765-494-3245
 Fax: 765-494-9899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JUSTIN R LOCKREM · (Male)

NPI Number 1376922450
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2015
Last updated 09/26/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01091015A
Hospital affiliation(s)
  • WEST VIRGINIA UNIVERSITY HOSPITALS - (Acute Care)
    MEDICAL CENTER DRIVE
    MORGANTOWN, WV 26506
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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