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Contact Information

DALE A LOCKHERT, MD
1870 BAGNELL DAM BLVD
LAKE OZARK, MO65049
 Phone: 573-365-2318
 Fax: 573-365-3009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DALE A LOCKHERT · (Male)

NPI Number 1659369635
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2005
Last updated 12/17/2018 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2000150390
  • MO Medicaid 204980916
Hospital affiliation(s)
  • LAKE REGIONAL HEALTH SYSTEM - (Acute Care)
    54 HOSPITAL DRIVE
    OSAGE BEACH, MO 65065
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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