Individual
MR. JEFFREY THOMAS LOCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3028 N EL PASO ST, COLORADO SPRINGS, CO 80907-5454
(719) 375-1922
Mailing address
3028 N EL PASO ST, COLORADO SPRINGS, CO 80907-5454
(719) 375-1922
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/24/2019
Last updated
05/11/2022
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