Individual
MARY R LOCKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
16260 VENTURA BLVD STE 630, ENCINO, CA 91436-2255
(747) 264-9201
(818) 337-7494
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NP18984
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
18984
CA
Other
Enumeration date
06/30/2009
Last updated
02/22/2026
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