| Doctor Name: | MRS. LAURA DENISE LOCKWOOD |
| NPI Number: | 1093011975 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSW |
| License Number: | S0900964 |
| Business Practice Address: | 228 Duane Ln Wadsworth, OH - 442811480 |
| Business Phone Number: | 8064333191 |
| Business Fax Number: | |
| Mailing Address: | 4431 Marketing Pl, GROVEPORT |
| State: | OH |
| Postal Code: | 431259556 |
| Phone Number: | 6148362466 |
| Fax Number: | 6148361865 |
| NPI Enumeration Date: | 02/10/2011 |
| NPI Last Update Date: | 02/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | S0900964 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |