Provider Demographics
NPI:1306812391
Name:LOCHRIE, JANE A (MD)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:A
Last Name:LOCHRIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:508-368-3162
Mailing Address - Fax:508-368-3159
Practice Address - Street 1:123 SUMMER ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608
Practice Address - Country:US
Practice Address - Phone:508-368-3162
Practice Address - Fax:508-368-3159
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA53722207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0401683OtherEVERCARE
1302071OtherCIGNA HEALTH PLAN
28001OtherHEALTHY START
MA3100405Medicaid
317307OtherTUFTS HEALTH PLAN
042472266OtherHEALTHCARE VALUE MANAGEME
042472266OtherTRICARE CHAMPUS
28001OtherCHILDRENS MEDICAL SECURIT
9900190OtherFALLON COMMUNITY HEALTH P
J12676OtherBLUE SHIELD HMO BLUE
5401191OtherAETNA US HEALTHCARE
042472266OtherONE HEALTH PLAN
042472266OtherTHREE RIVERS
1060918OtherFIRST HEALTH
J12676OtherBLUE CARE ELECT
110126746OtherRAILROAD MEDICARE
784157OtherMVP HEALTH CARE
J12676OtherBLUE SHIELD INDEMNITY
0401683OtherEVERCARE
28001OtherHEALTHY START