Individual
MISS LACORTNEY S LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 W 24TH ST, JACKSONVILLE, FL 32209-4245
(904) 535-1928
Mailing address
1345 W 24TH ST, JACKSONVILLE, FL 32209-4245
(904) 250-1220
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
237915
FL
Other
Enumeration date
06/30/2020
Last updated
06/22/2022
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