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Individual

LISA ANN LOCKHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
1006 39TH ST, VIENNA, WV 26105-2748
(304) 916-5212
Mailing address
1006 39TH ST, VIENNA, WV 26105-2748

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/23/2025
Last updated
06/23/2025
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