Individual
TINA RENEE' LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7229 FOREST AVE., STE. 111, HIGHLAND II BUILDING, RICHMOND, VA 23226-3765
(804) 687-4793
Mailing address
PO BOX 639295 DEPT 93394, CINCINNATI, OH 45263-9295
(218) 266-4200
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001189803
VA
363L00000X
Nurse Practitioner
Primary
0024183866
VA
Other
Enumeration date
03/22/2021
Last updated
07/30/2024
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