Individual
SARA EVA LOCKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5401 SOUTH ST, LINCOLN, NE 68506-2150
(402) 420-0020
(402) 420-0014
Mailing address
5401 SOUTH ST, LINCOLN, NE 68506-2150
(402) 328-8833
(402) 328-2921
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004232
IA
225100000X
Physical Therapist
Primary
2794
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08775
BCBS
NE
05
—
10025493600
—
NE
01
—
PENDING
MEDICARE RAILROAD
—
Enumeration date
07/03/2008
Last updated
04/10/2012
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