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NPI Code Detail

MEDICARE: ANDREA LOCKTON LPN

MEDICARE: ANDREA LOCKTON LPN
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
1164W00000XLicensed Practical Nurse23-54480-031KS

General Provider Information

NPI Number : 1194676742
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA LOCKTON LPN
Provider Business Mailing Address
First Line : 9803 E 96TH ST N APT 404
Second Line :
City : OWASSO
State : OK
Zip : 74055-8598
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3445 S SHERIDAN RD
Second Line :
City : TULSA
State : OK
Zip : 74145-1105
Country : US
Telephone Number : 918-610-3366
Fax Number : 918-610-3344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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