Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Laura Brooke-Ellison Lockwood, PA-C, MPAS

Individual provider Medical Physician Assistant · NPI 1861947632

Laura Brooke-Ellison Lockwood, PA-C, MPAS is a Physician Assistant in Salt Lake City, Utah. Qualified in 2016, 10 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
10
Licensed in
UT
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone: (801) 581-7818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10078763-1206 (UT)

Record details

NPI number1861947632
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MPAS
Sole proprietorNo
NPI enumeratedAugust 22, 2016
Last updated in NPPESJanuary 12, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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