Dr. William Bolin Lockner, DPM
in Minneapolis, MN. Individual provider (NPI-1).
NPI number1720079650
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720079650
- Entity type
- Individual (NPI-1)
- Name
- Dr. William Bolin Lockner
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2005
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0131X | 359 | MN | Yes |
Practice location
825 Nicollet MallSuite 517 Medical Arts Bldg
Minneapolis, MN 55402-2606
Phone 612-332-7720
Mailing address
825 Nicollet MallSuite 517 Medical Arts Bldg.
Minneapolis, MN 55402-2606
Phone 612-332-7720
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