Healthcare Provider Details

I. General information

NPI: 1609833623
Provider Name (Legal Business Name): JOYCE LOCKWOOD A.P., DIPL.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 1ST ST
NEPTUNE BEACH FL
32266-6145
US

IV. Provider business mailing address

212 33RD AVE S
JACKSONVILLE BEACH FL
32250-6045
US

V. Phone/Fax

Practice location:
  • Phone: 904-270-1499
  • Fax:
Mailing address:
  • Phone: 904-270-1499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP1094
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: