Individual
JUDITH ANN LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
330 UNIT C, PASEL DEL PUEBLO SUR, TAOS, NM 87571-5219
(575) 758-1414
Mailing address
PO BOX 29048, MSC874, PHOENIX, AZ 85308-2199
(505) 338-3851
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R2123
NM
Other
Enumeration date
04/28/2006
Last updated
04/26/2013
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