Individual
KAY L LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2720 PLAZA DR, SUITE 1100, WAUSAU, WI 54401-4158
(715) 847-2304
Mailing address
3000 WESTHILL DR, SUITE 303, WAUSAU, WI 54401-3795
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43147
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34130800
—
WI
Enumeration date
07/07/2006
Last updated
08/11/2008
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