Dr. Justin R Lockrem, MD
Internal Medicine in West Lafayette, Indiana
1376922450- Practice location
- 900 N John R Wooden Dr, West Lafayette, IN 47907-2117
- Phone
- 765-494-3245
- Fax
- 765-494-9899
- Last updated
- September 26, 2023
Justin Ryan Lockrem is an Internal Medicine based in West Lafayette, IN. Justin Ryan Lockrem practices in West Lafayette, IN and has the professional credentials of MD. The NPI Number for Justin Ryan Lockrem is 1376922450 and holds a License No. 01091015A (IN). The current practice location address for Justin Ryan Lockrem is 900 N John R Wooden Dr, West Lafayette, IN 47907-2117 and can be reached out via phone at 765-494-3245 and via fax at 765-494-9899.
Provider Profile Details
- NPI Number
- 1376922450
- Provider Name
- Justin Ryan Lockrem
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 900 N John R Wooden Dr, West Lafayette, IN 47907-2117
- Phone Number
- 765-494-3245
- Fax Number
- 765-494-9899
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 22, 2015
- Last Update Date
- September 26, 2023
- Certification Date
- September 26, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 900 N John R Wooden Dr
West Lafayette, IN 47907-2117 - City
- West Lafayette
- State
- Indiana
- Zip
- 47907-2117
- Phone Number
- 765-494-3245
- Fax Number
- 765-494-9899
Provider Business Mailing Address Details
- Address
- Po Box 781076
Detroit, MI 48278-1076 - City
- Detroit
- State
- MI
- Zip
- 48278-1076
- Phone Number
- 317-528-4800
- Fax Number
- 317-865-1479
License Information
- License Number (1)
- 01091015A
- License State (1)
- IN
- Taxonomy (1)
- Internal Medicine, Sports Medicine · 207RS0010X
- License Number (2)
- 01091015A
- License State (2)
- IN
- Taxonomy (2)
- Pediatrics · 208000000X
- License Number (3)
- 01091015A
- License State (3)
- IN
- Taxonomy (3)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near West Lafayette, IN
View all Internal Medicine providers in West Lafayette →Frequently Asked Questions
What is the NPI number of Dr. Justin R Lockrem, MD?
The NPI number of Dr. Justin R Lockrem, MD is 1376922450. It was assigned on May 22, 2015 and is currently active in the NPPES registry.
What is the specialty of Dr. Justin R Lockrem, MD?
Dr. Justin R Lockrem, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in IN under license number 01091015A.
Where does Dr. Justin R Lockrem, MD practice?
The practice location is 900 N John R Wooden Dr, West Lafayette, IN 47907-2117. The office can be reached at 765-494-3245 (phone) or 765-494-9899 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376922450 directly on the NPPES registry website.