Individual
ALYSSA KATHERINE LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10077 DOGWOOD ST NW, SUITE 110, MINNEAPOLIS, MN 55448-5286
(763) 792-9471
Mailing address
12205 YANCY ST NE, UNIT B, BLAINE, MN 55449-5746
(320) 250-6623
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 208871-6
MN
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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