National Provider Identifier
Mary Joan Lockwood, CNP
Mary Joan Lockwood, CNP is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Clifton Springs, NY and a listed phone number of (315) 462-6500.
Profile Overview
- NPI
- 1689635575
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- March 30, 2006
- Last Updated
- March 08, 2012
Practice Location
- 2 Coulter RD
- Clifton Springs, NY 14432-1122
Phone: (315) 462-6500
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1689635575
- Entity Type
- Individual
- Last Name
- Lockwood
- First Name
- Mary
- Middle Name
- Joan
- Credential
- CNP
- Mailing Street Address
- 2 Coulter RD
- Mailing City
- Clifton Springs
- Mailing State
- NY
- Mailing ZIP Code
- 14432-1122
- Mailing Country
- US
- Mailing Phone
- (315) 462-6500
- Mailing Fax
- (315) 462-6731
- Practice Street Address
- 2 Coulter RD
- Practice City
- Clifton Springs
- Practice State
- NY
- Practice ZIP Code
- 14432-1122
- Practice Country
- US
- Practice Phone
- (315) 462-6500
- Practice Fax
- (315) 462-6731
- Enumeration Date
- March 30, 2006
- Last Updated
- March 08, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 109711BJ (NY, Preferred Care), 01499141 (NY), 019300840 (NY, Blue Choice)