Provider Demographics
NPI:1811043482
Name:DODSON, JENNIFER LOCKWOOD (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LOCKWOOD
Last Name:DODSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:600 N WOLFE ST JOHNS HOPKINS HOSPITAL
Mailing Address - Street 2:MARBURG 1, DEPARTMENT OF UROLOGY
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0001
Mailing Address - Country:US
Mailing Address - Phone:410-955-4494
Mailing Address - Fax:410-955-0833
Practice Address - Street 1:600 N WOLFE ST JOHNS HOPKINS HOSPITAL
Practice Address - Street 2:MARBURG 1, DEPARTMENT OF UROLOGY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-955-6108
Practice Address - Fax:410-955-0833
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2011-01-29
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Provider Licenses
StateLicense IDTaxonomies
MDD0058070208800000X, 2088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD303006700Medicaid
MD303006700Medicaid
MD193451ZAM2Medicare PIN
MDKS16C326Medicare PIN