Individual
MRS. MARY JANE LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS, CPNP, IBCLC
Contact information
Practice address
36000 DARNALL LOOP, CARL R DARNALL ARMY MEDICAL CENTER, FORT HOOD, TX 76544-4752
(254) 288-8440
Mailing address
1402 CARDINAL TRL, COPPERAS COVE, TX 76522-1950
(254) 547-1305
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
574376
TX
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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