Individual
WILLIAM LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 AINSWORTH DR STE 103, PRESCOTT, AZ 86301-1687
(928) 771-5550
(928) 445-9209
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 759-5987
(928) 458-2039
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
40316
CO
207RI0200X
Infectious Disease Physician
Primary
53831
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259781
—
AZ
05
—
53154231
—
CO
01
—
Z201654
MEDICARE PIN
AZ
Enumeration date
12/18/2005
Last updated
12/19/2022
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