Provider Demographics
NPI:1942411681
Name:LOCKHART, SHARON DENISE (LAC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:DENISE
Last Name:LOCKHART
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1916 N 700 W
Mailing Address - Street 2:SUITE 270
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-5673
Mailing Address - Country:US
Mailing Address - Phone:801-414-9819
Mailing Address - Fax:801-776-4711
Practice Address - Street 1:1916 N 700 W
Practice Address - Street 2:SUITE 270
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-5673
Practice Address - Country:US
Practice Address - Phone:801-776-4711
Practice Address - Fax:801-776-4710
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT58884951201171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist