Individual
CIARA MARINA LOCKSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-2519
(859) 323-6047
(859) 257-3873
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-6047
(859) 257-3873
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
58395
KY
208M00000X
Hospitalist Physician
TP767
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2020
Last updated
10/25/2023
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