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NPI Code Detail

MEDICARE: COURTNEY LOCKWOOD

MEDICARE: COURTNEY LOCKWOOD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1242T00000XPerfusionist262-18WI

General Provider Information

NPI Number : 1376402842
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY LOCKWOOD
Provider Business Mailing Address
First Line : 1636 W FAIRFIELD CT
Second Line :
City : GLENDALE
State : WI
Zip : 53209-3433
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2900 W OKLAHOMA AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-4330
Country : US
Telephone Number : 414-649-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ COURTNEY LOCKWOOD ” Practice Location

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