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NPI Code Detail

MEDICARE: RICHARD WILLIAM LOCKWOOD

MEDICARE: RICHARD WILLIAM 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
1207LP2900XPain Medicine (Anesthesiology) PhysicianME0060889FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125739OTHERFLBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477647147
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD WILLIAM LOCKWOOD
Provider Business Mailing Address
First Line : 301 N. ALEXANDER STREET
Second Line :
City : PLANT CITY
State : FL
Zip : 33566
Country : US
Telephone Number : 352-867-8898
Fax Number : 352-732-6282
Provider Business Practice Location Address
First Line : 3202 N PARK RD
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-2026
Country : US
Telephone Number : 352-867-8898
Fax Number : 352-732-6282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 10/17/2025

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Directions to “ RICHARD WILLIAM LOCKWOOD ” Practice Location

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