Provider Demographics
NPI:1669178943
Name:LOCKWOOD, CHRISTINA (PHD, DABCC, DABMGG)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:
Last Name:LOCKWOOD
Suffix:
Gender:F
Credentials:PHD, DABCC, DABMGG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12224 SE 10TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3831
Mailing Address - Country:US
Mailing Address - Phone:314-598-6315
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST CAMPUS 357110, NW120
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-598-2142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANA207SG0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0203XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Molecular Genetics