Individual
DR. SUSAN JEAN LOCKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
119 E SWEDESFORD RD, EXTON, PA 19341-2333
(610) 594-0800
(610) 594-0801
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OET009079
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012081047 0001
—
PA
Enumeration date
01/12/2006
Last updated
02/11/2022
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