Ellen Lockhart

NPI 1689367542 · on the registry since 2023 · sole proprietor

Practice

Address: 5315 Cortez Rd W
Bradenton, FL 34210
Phone: (941) 761-0419
Fax: (941) 761-0237
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Rebecca R. Matchok, O.D., P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 156FX1800X
156FX1800X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida