Individual ProviderJoseph LockRadiologyAllopathic & Osteopathic PhysiciansPractice Address100 N Academy Ave, Danville, PA 17822-1777(570) 271-6301(570) 271-6144PECOS EnrollmentBased on the most recent information from CMS, provider Joseph Lock is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 33 days ago.Profile DetailsProvider ID1144255993Provider TypeIndividualFull NameLock, JosephTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date7/11/2006Last Updated7/30/2020Contact InformationPractice LocationPractice Address100 N Academy Ave, Danville, PA 17822-1777Phone(570) 271-6301Fax(570) 271-5976Mailing LocationMailing Address100 N Academy Ave, Danville, PA 17822-4903Phone(570) 271-6144Fax(570) 271-6578Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseMA074671New JerseyCode2085N0700XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseMD433701Pennsylvania