Individual
ELISSA LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 761-0458
Mailing address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 761-0458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
957691
TX
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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