Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRETT C. LOCKMAN, DO
Active Sole ProprietorBRETT C. LOCKMAN, DO is a Interventional Vascular Surgery healthcare provider located in SONORA, California. NPI 1003002742 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · SONORA, CA
Registration Details
- NPI Number
- 1003002742
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2007 (18.938233924401 yrs)
- Last Updated
- Aug 11, 2022
- Licenses
-
N0221 (TX)2015158 (CA)N0221 (TX)2015158 (CA)20A15158 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19468 VILLAGE DR STE 100SONORA, CA, 953709228Browse CA providers · Browse ZIP 95370
- Phone
- 2095364776
- Fax
- 8333020274
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Electrodiagnostic Medicine
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Brain Injury Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.