Provider Demographics
NPI:1396791604
Name:LOCHRIDGE, STANLEY K (MD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:K
Last Name:LOCHRIDGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2871 ACTON RD 100
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2560
Mailing Address - Country:US
Mailing Address - Phone:205-716-6900
Mailing Address - Fax:205-939-0293
Practice Address - Street 1:2871 ACTON ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-2560
Practice Address - Country:US
Practice Address - Phone:205-939-0023
Practice Address - Fax:205-939-4180
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL6275208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051514834OtherBLUE CROSS - 2660 10TH AV
AL051512606OtherBLUE CROSS - 48 MED PARK
AL009909155Medicaid
AL009943115Medicaid
AL009941915Medicaid
AL051514584OtherBLUE CROSS - 860 MONT RD
AL051514584OtherBLUE CROSS - 860 MONT RD
AL009941915Medicaid