Provider Demographics
NPI:1598762254
Name:LOCKER, STEVEN CARL (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CARL
Last Name:LOCKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 7TH ST NE
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51041-1172
Mailing Address - Country:US
Mailing Address - Phone:712-737-4150
Mailing Address - Fax:
Practice Address - Street 1:1000 LINCOLN CIR SE
Practice Address - Street 2:SUITE 200
Practice Address - City:ORANGE CITY
Practice Address - State:IA
Practice Address - Zip Code:51041-1862
Practice Address - Country:US
Practice Address - Phone:712-737-5317
Practice Address - Fax:712-737-5318
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA27787208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA4067124Medicaid
IAE58203Medicare UPIN
IAI14573Medicare ID - Type Unspecified