Organization · NPI-2

Jean Joseph Lochard MD PC

Clinic/Center · Corona, NY

NPI number1679891816
StatusActive
Last updated in NPPESMay 12, 2010

Details

NPI
1679891816
Entity type
Organization (NPI-2)
Legal business name
Jean Joseph Lochard MD PC
Organization subpart
No
Enumeration date
May 12, 2010
Last updated
May 12, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

10211 Roosevelt Ave
Corona, NY 11368-2331

Phone 718-898-1378 · Fax 718-898-1505

Mailing address

10211 Roosevelt Ave
Corona, NY 11368-2331

Authorized official

Jean Joseph Lochard
MD
7188981378

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