Individual
MR. MATTHEW M LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6000
(785) 354-5004
Mailing address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6000
(785) 354-5004
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04-34946
KS
207P00000X
Emergency Medicine Physician
Primary
E-9795
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002115
MEDICARE PTAN
KS
05
—
100325620F
—
KS
Enumeration date
12/08/2006
Last updated
12/07/2017
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