Individual
MARGO JACKSON-LOCKYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 781-9466
Mailing address
LOCKBOX # 17 2424 E 21ST STREET, SUITE 100, TULSA, OK 74114-1711
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24750
OK
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
24750
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148254001
—
TX
01
—
1811960255
BLUE SHIELD
OK
05
—
200067370A
—
OK
Enumeration date
02/08/2006
Last updated
09/17/2014
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