Ellen Lockhart Valid NPI
Individual provider · Optician · Bradenton, FL
- NPI
- 1689367542
- Type
- Individual (Type 1)
- Primary specialty
- Optician (Technician/Technologist)
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 156FX1800X
- License number
- DO6571 (FL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2023-05-29
- Last updated
- 2023-05-29
Practice location
5315 Cortez Rd W
Bradenton, FL 34210-2814
(941) 761-0419