Provider Demographics
NPI:1891373353
Name:LOCHSTAMPFOR, ELIZABETH LYN (CPHT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LYN
Last Name:LOCHSTAMPFOR
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11214 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-2207
Mailing Address - Country:US
Mailing Address - Phone:757-327-7473
Mailing Address - Fax:
Practice Address - Street 1:11214 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-2207
Practice Address - Country:US
Practice Address - Phone:757-327-7473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA023007605183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0230027605OtherPHARMACY TECH LICENSE