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Individual

MR. DANIEL L LOCKWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-1868
(757) 953-1848
Mailing address
620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708-2111
(757) 953-1868
(757) 952-3184

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0110840560
VA
363AS0400X
Surgical Physician Assistant
Primary
0110840560
VA

Other

Enumeration date
05/11/2006
Last updated
04/12/2012
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