Individual
ELLEN LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
408 ARIETTA BLVD, AUBURNDALE, FL 33823-9331
(863) 206-6002
Mailing address
408 ARIETTA BLVD, AUBURNDALE, FL 33823-9331
(863) 206-6002
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP2139322
FL
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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