Individual
ELLEN LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5315 CORTEZ RD W, BRADENTON, FL 34210-2814
(941) 761-0419
(941) 761-0237
Mailing address
5315 CORTEZ RD W, BRADENTON, FL 34210-2814
(941) 761-0419
(941) 761-0237
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO6571
FL
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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