Provider Demographics
NPI:1750017539
Name:LOCHRIDGE, TRENT (MLS)
Entity type:Individual
Prefix:MR
First Name:TRENT
Middle Name:
Last Name:LOCHRIDGE
Suffix:
Gender:M
Credentials:MLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11075 SW 38TH BLVD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1379
Mailing Address - Country:US
Mailing Address - Phone:239-560-4068
Mailing Address - Fax:
Practice Address - Street 1:11075 SW 38TH BLVD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1379
Practice Address - Country:US
Practice Address - Phone:239-560-4068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QI0000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyImmunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
20162023OtherVETERANS ADMINISTRATION