Individual
MOTI LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5000
Mailing address
100 LOCKWOOD CT APT 234, COLUMBUS, GA 31906-4917
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN105594
GA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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