Doctor Name: | JENNIFER RAE LOCKWOOD |
NPI Number: | 1013293349 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSA |
License Number: | 2697 |
Business Practice Address: | 1 Sugar Creek Ln Ste 618 Sugar Land, TX - 774783936 |
Business Phone Number: | 8326554141 |
Business Fax Number: | 7134575188 |
Mailing Address: | 1 Sugar Creek Ln Ste 618, SUGAR LAND |
State: | TX |
Postal Code: | 774783936 |
Phone Number: | 8326554141 |
Fax Number: | 7134575188 |
NPI Enumeration Date: | 11/01/2011 |
NPI Last Update Date: | 05/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2697 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |