Most Relevant Information
Provider Data
| NPI Number: | 1003182643 |
| Provider Name: | JILL LOCKWOOD RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R189204-2 |
Most Important Dates
| Enumeration Date: | 03/28/2012 |
| Last Updated: | 04/12/2012 |
Provider Practice Location
1401 E 1ST ST
DULUTH
MN
558052407
Practice Location Phone/Fax
| Phone: | 2187284491 |
| Fax: |
Provider Mailing Location
1401 E 1ST ST
DULUTH
MN
558052407
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |