Individual
MICHAEL LOCKWOOD
Active
Individual
MICHAEL LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
01032816A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000189264
ANTHEM PROVIDER NUMBER
IN
05
—
100087340
—
IN
01
—
10825500
CAQH NUMBER
IN
01
—
9397233
PHCS PID NUMBER
IN
05
—
LO156012011
—
IN
Enumeration date
03/16/2006
Last updated
01/25/2021
Update your record
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