Individual
JAMES W. LOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12628
MS
207RH0005X
Hypertension Specialist Physician
Primary
12628
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116489
—
MS
01
—
P00127232
RAILROAD MEDICARE
—
Enumeration date
12/30/2005
Last updated
06/26/2014
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