Most Relevant Information
Provider Data
| NPI Number: | 1003638099 |
| Provider Name: | MELISSA LOCKHART |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/30/2024 |
| Last Updated: | 10/30/2024 |
Provider Practice Location
1599 2ND AVE
CHARLESTON
WV
253872514
Practice Location Phone/Fax
| Phone: | 3043440586 |
| Fax: |
Provider Mailing Location
PO BOX 20112
CHARLESTON
WV
253621112
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |