Individual
AMY C LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, GROUND SILVERSTEIN BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-6698
Mailing address
3400 SPRUCE ST, GROUND SILVERSTEIN BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-6698
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
SP008205
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP008205
PA
Other
Enumeration date
11/28/2006
Last updated
10/24/2019
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