NPI

Ezra Lockhart

NPI 1063036176

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
PhD
Type
Individual
Enumeration date
2020-06-04
Last updated
2025-08-06

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Specialties

Licenses

License HI
MFT-879
License CO
ACD.0001774
License LA
MFT1500
License HI
233136
License CO
MFT.0002241

Location

Practice location
58087 Betty Lee Drive
City
Moffat CO
Postal code
81143
Phone
(303) 929-0861

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Moffat, CO. 9 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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