Lockwood, Travis W

Lockwood, Travis W is an individual health care provider with primary practice located at 8611 W Point Douglas Rd S , Cottage Grove MN 55016-4005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lockwood, Travis W can be contacted via phone (651) 458-1884.

Contact Information

Primary practice address
8611 W Point Douglas Rd S Cottage Grove MN 55016-4005
Phone: (651) 458-1884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40999 Minnesota

Profile Details

NPI number 1396708921
LBN Legal business name Lockwood, Travis W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Mar 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396708921 NPPES
Minnesota MEDICAID 742687900

Popular Providers