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Individual
MR. TIMOTHY D LOCKNANE
Active
Individual
MR. TIMOTHY D LOCKNANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD00036179
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1856LO
REGENCE
WA
01
—
204713
LABOR AND INDUSTRIES
WA
01
—
5237760
AETNA
WA
01
—
56-2521538
TAX ID
WA
Enumeration date
01/24/2007
Last updated
08/13/2016
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