Provider Demographics
NPI:1194559633
Name:LOCKWOOD, ANNA CHRISTINE
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:CHRISTINE
Last Name:LOCKWOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 POST RD APT 112
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7330
Mailing Address - Country:US
Mailing Address - Phone:830-353-7049
Mailing Address - Fax:
Practice Address - Street 1:1629 POST RD APT 112
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7330
Practice Address - Country:US
Practice Address - Phone:830-353-7049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer