Individual ProviderVincent LockInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1700 13th St, Everett, WA 98201-1689(713) 870-8189PECOS EnrollmentBased on the most recent information from CMS, provider Vincent 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 2 days ago.Profile DetailsProvider ID1639819675Provider TypeIndividualFull NameLock, VincentCredentialDOGenderMaleSole ProprietorNoEnumeration Date3/29/2022Last Updated8/18/2025Contact InformationPractice LocationPractice Address1700 13th St, Everett, WA 98201-1689Phone(713) 870-8189FaxUnlisted FaxMailing LocationMailing Address2332 N 116th St, Seattle, WA 98133-8514Phone(713) 870-8189FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseDO.OP.61292879WashingtonProvider IdentifiersIDDescriptionIssuerIDS01202520DescriptionOtherIssuerCIGNA