Diamond Lockhart

Individual provider Active NPI Community Health Worker · Forestville, MD

NPI 1376238667 · NPPES record last updated Apr 11, 2023

Key facts

NPI
1376238667
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
2735 Lorring Dr Apt 202
Forestville, MD 20747-3429
Phone
(804) 429-7475
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

2735 Lorring Dr Apt 202
Forestville, MD 20747-3429

Mailing address

2735 Lorring Dr Apt 202
Forestville, MD 20747-3429

Other providers in Forestville, MD

All providers in Forestville, MD · Community Health Worker in Maryland

Sources for this page

Verify at the official NPI Registry.