TRAVIS LOCKHART

PROVIDENCE, RI
NPI1225873250
Former NameTRAVIS BLAND
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: RI  LP06337)
Enumeration Date2024-07-01
Last Update Date2024-07-01
Business Address
TRAVIS LOCKHART DO
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2000
Mailing Address
TRAVIS LOCKHART DO
1 SHERMAN ST
PROVIDENCE, RI 02904-1229
Phone number:
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