Individual
DR. CHARELLE ELENA LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, DEPARTMENT OF PEDIATRICS, MIAMI, FL 33136-1005
(786) 329-0419
Mailing address
1611 NW 12TH AVE, DEPARTMENT OF PEDIATRICS, MIAMI, FL 33136-1005
(786) 329-0419
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11266
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11266
FL
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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