Provider Demographics
NPI:1871708529
Name:LOCKMAN, ANNE JULIANA (MD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:JULIANA
Last Name:LOCKMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNE ELIZABETH
Other - Middle Name:JULIANA
Other - Last Name:LOCKMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:300 PASTEUR DR
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:650-723-4000
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD1511802084N0400X
CAA1029552084N0400X, 2084P0800X
TXQ26832084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500622658Medicaid
WA1871708529Medicaid
OR500622658Medicaid