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General NPI Number Information
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NPI Number | 1104852854
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Entity Type | Individual
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Provider Name | LAURA JANE LOCKHART CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 706 W KING ST
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City | KINGS MOUNTAIN
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State | NC
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Zip | 28086-2708
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Country | US
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Telephone | 704-730-5405
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Fax | 704-730-5399
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Provider Business Mailing Address
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Address Line | 12412 DARBY CHASE DR
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City | CHARLOTTE
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State | NC
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Zip | 28277-3200
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Country | US
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Telephone | 704-846-9613
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Fax | 704-846-9613
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 036534
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License Number State | NC
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