Provider Demographics
NPI:1639676406
Name:LOCKWOOD, WINTHROP CHARLES
Entity Type:Individual
Prefix:
First Name:WINTHROP
Middle Name:CHARLES
Last Name:LOCKWOOD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
Mailing Address - Street 2:13001 E. 17TH PLACE
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2581
Mailing Address - Country:US
Mailing Address - Phone:303-724-2963
Mailing Address - Fax:303-724-1593
Practice Address - Street 1:UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
Practice Address - Street 2:13001 E. 17TH PLACE
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2581
Practice Address - Country:US
Practice Address - Phone:303-724-2963
Practice Address - Fax:303-724-1593
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program