Individual
MADELINE LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18465 ORCHARD TRL, LAKEVILLE, MN 55044-8885
(952) 428-0950
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14993
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2024
Last updated
11/26/2024
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