NPI 1164201406

Sandra Lockard, RN

Practitioner Private Vehicle Interlochen, MI

Practice location

Address: 1530 Sleepy Hollow Ln, Interlochen, MI 49643-9299
Phone: (317) 289-5582

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence L263758564040 (MI)

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Registry record

NPI: 1164201406
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2023
Record last updated: 26 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.