Organization
BRUCE A. LOCKWOOD, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDEL SCHRODER (BILLING MANAGER)
(303) 922-4636
Entity
Organization
Contact information
Practice address
1300 OAKRIDGE DR, SUITE 130, FORT COLLINS, CO 80525-5564
(970) 377-9555
Mailing address
1300 OAKRIDGE DR, SUITE 130, FORT COLLINS, CO 80525-5564
(970) 377-9555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G88661
CA
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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