Individual
MEGAN LOCKSHIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
50 BROOKSIDE RD, WATERBURY, CT 06708-1402
(203) 568-7466
Mailing address
50 BROOKSIDE RD, WATERBURY, CT 06708-1402
(203) 568-7466
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
139214
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139214
CT DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
07/01/2021
Last updated
07/01/2021
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