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Individual

STEPHANIE LOCKSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D

Contact information

Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 955-5000
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01587
MD
231H00000X
Audiologist
AU3134
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01587
LICENSE
MD
Enumeration date
07/13/2016
Last updated
05/11/2022
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