Organization
BRETT C LOCKMAN DO MEDICAL CORPORATION
Active
Other names
Sierra Biotensegrity
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT LOCKMAN DO (PRESIDENT)
(209) 536-4776
Entity
Organization
Contact information
Practice address
19468 VILLAGE DR STE 100, SONORA, CA 95370-9228
(209) 536-4776
(833) 302-0274
Mailing address
18575 LAMBERT LAKE RD, SONORA, CA 95370-9333
(214) 766-7817
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/11/2022
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