| Maximo B. Lockward, M.d., Llc | |
|
6714 Market St Suite 1 Boardman OH 44512-4500 | |
| (330) 965-5850 | |
| Not Available |
| Full Name | Maximo B. Lockward, M.d., Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6714 Market St, Boardman, Ohio |
| Authorized Official Name and Position | Maximo B Lockward (OWNER) |
| Authorized Official Contact | 3309655850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maximo B. Lockward, M.d., Llc 6714 Market St Suite 1 Boardman OH 44512-4500 Ph: (330) 965-5850 | Maximo B. Lockward, M.d., Llc 6714 Market St Suite 1 Boardman OH 44512-4500 Ph: (330) 965-5850 |
| NPI Number | 1235351727 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235351727 | NPI | - | NPPES |
| MD052597L | Other | PA | LICENSE |
| 35071065 | Other | OH | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35071065 (Ohio) | Primary |
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