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NPI Code Detail

MEDICARE: KARYN BROOKE LOCKHART AGPCNP-BC

MEDICARE:   KARYN BROOKE LOCKHART  AGPCNP-BC
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
1363LP2300XPrimary Care Nurse PractitionerAP131787TX
2363L00000XNurse PractitionerAP131787TX
3363LG0600XGerontology Nurse PractitionerAP131787TX
4363LA2200XAdult Health Nurse PractitionerAP131787TX

General Provider Information

NPI Number : 1588112791
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARYN BROOKE LOCKHART AGPCNP-BC
Provider Business Mailing Address
First Line : 5495 BELT LINE RD STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75254-7658
Country : US
Telephone Number : 214-712-2606
Fax Number :
Provider Business Practice Location Address
First Line : 5495 BELT LINE RD STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75254-7658
Country : US
Telephone Number : 214-712-2606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2016
Last Update Date : 03/27/2026

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Directions to “ KARYN BROOKE LOCKHART AGPCNP-BC” Practice Location

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