MEDICARE: MS. ELIZABETH LOKENAUTH PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	027274-01	NY
2	363A00000X	Physician Assistant	PA9117592	FL

General Provider Information

NPI Number	:	1487321790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH LOKENAUTH PA

Provider Business Mailing Address
First Line	:	311 NORTH ST STE 201
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-2232
Country	:	US
Telephone Number	:	914-629-3100
Fax Number	:

Provider Business Practice Location Address
First Line	:	3060 LOOPDALE LN
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-7659
Country	:	US
Telephone Number	:	407-775-2121
Fax Number	:	888-272-4324

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2021
Last Update Date	:	10/26/2023

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