Individual
MRS. LISA EVELYN LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 N ALBANY AVE, TAMPA, FL 33607-4306
(813) 340-1360
(813) 259-9581
Mailing address
15156 SHAW RD, TAMPA, FL 33625-5531
(813) 340-1360
(813) 259-9581
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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