Provider Demographics
NPI:1538045521
Name:LOCKHART, HANNAH ALEXIS (PA)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ALEXIS
Last Name:LOCKHART
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 SHAW RD
Mailing Address - Street 2:
Mailing Address - City:VOLANT
Mailing Address - State:PA
Mailing Address - Zip Code:16156-4922
Mailing Address - Country:US
Mailing Address - Phone:724-944-6928
Mailing Address - Fax:
Practice Address - Street 1:2640 BRANDT SCHOOL RD
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7646
Practice Address - Country:US
Practice Address - Phone:412-361-3950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA066864363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical