Basic Information
Provider Information
NPI: 1003001892
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOKEY
FirstName: DAVID
MiddleName: JAMEA
NamePrefix: MR.
NameSuffix:  
Credential: P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13004 TUSCARORA DR
Address2:  
City: POWAY
State: CA
PostalCode: 920643813
CountryCode: US
TelephoneNumber: 8588697008
FaxNumber:  
Practice Location
Address1: 13004 TUSCARORA DR
Address2:  
City: POWAY
State: CA
PostalCode: 920643813
CountryCode: US
TelephoneNumber: 8588697008
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/13/2007
LastUpdateDate: 09/13/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X28236CAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


Home