Individual
MR. MICHAEL JAMES LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12250 E ILIFF AVE, #300, AURORA, CO 80014-6318
(303) 306-4321
(720) 524-1551
Mailing address
10900 W 44TH AVE # 300, WHEAT RIDGE, CO 80033-2761
(303) 993-1330
(303) 284-4082
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
00008530
CO
363A00000X
Physician Assistant
Primary
850
CO
363A00000X
Physician Assistant
PA.0000850
CO
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38406250
—
CO
Enumeration date
08/12/2006
Last updated
06/01/2020
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