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NPI Code Detail

MEDICARE: LOCKHART SPORTS MEDICINE AND WELLNESS CLINIC PLLC

MEDICARE: LOCKHART SPORTS MEDICINE AND WELLNESS CLINIC PLLC
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
12080S0010XPediatric Sports Medicine Physician

General Provider Information

NPI Number : 1386573012
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOCKHART SPORTS MEDICINE AND WELLNESS CLINIC PLLC
Provider Business Mailing Address
First Line : 634 7TH AVE OFC A3
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-5665
Country : US
Telephone Number : 425-286-4262
Fax Number :
Provider Business Practice Location Address
First Line : 634 7TH AVE OFC A3
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-5665
Country : US
Telephone Number : 425-286-4262
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JOHN LOCKHART
Credential : MD
Telephone Number : 425-286-4262
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “LOCKHART SPORTS MEDICINE AND WELLNESS CLINIC PLLC ” Practice Location

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