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NPI Code Detail

MEDICARE: RACHEL KAREN LOCKWOOD ARNP

MEDICARE:   RACHEL KAREN LOCKWOOD  ARNP
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
1363LN0000XNeonatal Nurse Practitioner0001147348VA

General Provider Information

NPI Number : 1992781215
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL KAREN LOCKWOOD ARNP
Provider Business Mailing Address
First Line : PO BOX 452409
Second Line :
City : SUNRISE
State : FL
Zip : 33345-2409
Country : US
Telephone Number : 954-838-2371
Fax Number :
Provider Business Practice Location Address
First Line : 44045 RIVERSIDE PKWY
Second Line :
City : LEESBURG
State : VA
Zip : 20176-5101
Country : US
Telephone Number : 703-585-6621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 05/18/2009

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Directions to “ RACHEL KAREN LOCKWOOD ARNP” Practice Location

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