Individual
CODY LOCKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PR
Contact information
Practice address
137 8TH AVE W, HUNTINGTON, WV 25701-2510
(304) 408-3256
(304) 756-8230
Mailing address
137 8TH AVE W, HUNTINGTON, WV 25701-2510
(043) 408-3256
(304) 756-8230
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-946
WV
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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