IVAN RAFAEL LOCKWARD

PHILADELPHIA, PA
NPI1922589480
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: PR  33783r)
Enumeration Date2018-08-23
Last Update Date2021-10-01
Business Address
Mr. IVAN RAFAEL LOCKWARD MD, MPH
401-55 W ALLEGHENY AVENUE
PHILADELPHIA, PA 19133
Phone number: 215-291-2500
Mailing Address
Mr. IVAN RAFAEL LOCKWARD MD, MPH
1412-22 FAIRMOUNT AVENUE
PHILADELPHIA, PA 19130-2900
Phone number: 215-684-5344
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