Individual
BRUCE A. LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 OAKRIDGE DR, SUITE 130, FT COLLINS, CO 80525-5733
(970) 377-9555
(970) 377-9559
Mailing address
1300 OAKRIDGE DR, SUITE 130, FT COLLINS, CO 80525-5733
(970) 377-9555
(970) 377-9559
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
31928
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01319284
—
CO
Enumeration date
03/23/2006
Last updated
02/22/2011
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