Julia D. Lockwood, M.D.

Key facts

NPI

1902992233

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Adolescent Medicine Physician 2080A0000X

License

011080 (ME)

Practice address

45 Forest Falls Drive
Yarmouth, ME 04096

Phone

(207) 846-9761

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Medicine

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902992233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MAIN ST",
            "city": "SOUTH FREEPORT",
            "state": "ME",
            "postal_code": "04078",
            "telephone_number": "207-865-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FOREST FALLS DRIVE",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "04096",
            "telephone_number": "207-846-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "JULIA",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "ME",
            "license": "011080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Yarmouth, ME · Pediatric Adolescent Medicine Physician in Maine