Individual
MS. KAREN ANN LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12445 118TH AVE SE, MOBILE BUISNESS OFFICE, RAINIER, WA 98576-9792
(360) 446-7113
(360) 446-0069
Mailing address
PO BOX 1257, RAINIER, WA 98576-1257
(360) 446-7113
(360) 446-0069
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00001600
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900675
—
WA
Enumeration date
03/22/2007
Last updated
07/08/2007
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