Provider Demographics
NPI:1346570553
Name:LOCKWOOD, JOHN M SR (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:LOCKWOOD
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:615 1/2 DUVAL ST
Mailing Address - Street 2:UNIT 4
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-6554
Mailing Address - Country:US
Mailing Address - Phone:305-292-1635
Mailing Address - Fax:305-292-1739
Practice Address - Street 1:615 1/2 DUVAL ST
Practice Address - Street 2:UNIT 4
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-6554
Practice Address - Country:US
Practice Address - Phone:305-292-1635
Practice Address - Fax:305-292-1739
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 39199207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery