Provider Demographics
NPI:1225464738
Name:LOCKHART, ASHLEY D (PA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:D
Last Name:LOCKHART
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:416 COLEGATE DR BLDG 3
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-9549
Mailing Address - Country:US
Mailing Address - Phone:740-568-4814
Mailing Address - Fax:740-374-3165
Practice Address - Street 1:400 MATTHEW ST STE 200
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-1633
Practice Address - Country:US
Practice Address - Phone:740-434-0565
Practice Address - Fax:740-434-0563
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2021-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH50.003814RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant