Individual
MICHAEL M LOCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27800 MEDICAL CENTER RD, SUITE 160, MISSION VIEJO, CA 92691-6410
(949) 364-9120
(949) 364-8465
Mailing address
4822 TOCALOMA LN, LA CANADA, CA 91011-1666
(818) 952-1082
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G49709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G497090
—
CA
Enumeration date
06/25/2006
Last updated
07/08/2007
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