Blake Stephan Dhalla Lockard
Blake Stephan Dhalla Lockard is a Student in an Organized Health Care Education/Training Program in Aventura, Florida. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
20900 Biscayne BlvdAventura, FL 33180-1495
Phone: (305) 692-3325
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1275016768 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 11, 2018 |
| Last updated in NPPES | March 20, 2024 |
| Certification date | March 20, 2024 |
| Mailing address | 20900 Biscayne Blvd, Aventura, FL 33180-1495 |
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