Individual
SHANNON L LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
209 M. L. K. JR WAY, TACOMA, WA 98405
(253) 596-6300
Mailing address
209 M. L. K. JR WAY, TACOMA, WA 98405
(253) 596-6300
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN 9284260
FL
163WC0200X
Critical Care Medicine Registered Nurse
RN00158055
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60268404
WA
Other
Enumeration date
10/12/2011
Last updated
08/31/2023
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