Individual
MS. REBECCA JANE LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3900 KRESGE WAY, SUITE 42, LOUISVILLE, KY 40207-4660
(502) 894-9499
(502) 894-9595
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004432
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200507950
—
IN
05
—
PENDING
—
KY
Enumeration date
07/08/2005
Last updated
01/26/2015
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