| Lockmiller Health & Wellness Llc | |
|
608 North Prince Street Suite C Clovis NM 88101 | |
| (575) 742-8911 | |
| (575) 742-8902 |
| Full Name | Lockmiller Health & Wellness Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 608 North Prince Street, Clovis, New Mexico |
| Authorized Official Name and Position | Aaron D Lockmiller (OWNER) |
| Authorized Official Contact | 5757428911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lockmiller Health & Wellness Llc 608 North Prince Street Suite C Clovis NM 88101 Ph: (575) 742-8911 | Lockmiller Health & Wellness Llc 608 North Prince Street Suite C Clovis NM 88101 Ph: (575) 742-8911 |
| NPI Number | 1114592417 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Medicare PECOS PAC ID | 0446658116 |
|---|---|
| Medicare Enrollment ID | O20211011000862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114592417 | NPI | - | NPPES |
| 1417571258 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Aaron Lockmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417571258 PECOS PAC ID: 1052733912 Enrollment ID: I20200623000131 |
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