Individual
MR. DAVID J LOCKNANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1815 FAWN CT, ARBOR VITAE, WI 54568-9765
(715) 356-2537
Mailing address
1815 FAWN CT, ARBOR VITAE, WI 54568-9765
(715) 358-2537
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2163
WI
Other
Enumeration date
07/11/2007
Last updated
10/15/2008
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