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NPI Code Detail

MEDICARE: DR. RICHARD HOWARD LOCKWOOD MD

MEDICARE: DR. RICHARD HOWARD LOCKWOOD MD
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
1207R00000XInternal Medicine Physician149229NY

General Provider Information

NPI Number : 1922088871
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD HOWARD LOCKWOOD MD
Provider Business Mailing Address
First Line : 115 GADWALL LN
Second Line :
City : MANLIUS
State : NY
Zip : 13104-9395
Country : US
Telephone Number : 315-569-0051
Fax Number :
Provider Business Practice Location Address
First Line : 4600 SOUTHWOOD HEIGHTS DR
Second Line :
City : JAMESVILLE
State : NY
Zip : 13078-9595
Country : US
Telephone Number : 315-469-1300
Fax Number : 315-469-5545
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 09/16/2015

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