Provider Demographics
NPI:1487321790
Name:LOKENAUTH, ELIZABETH (PA)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:LOKENAUTH
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:311 NORTH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-2232
Mailing Address - Country:US
Mailing Address - Phone:914-629-3100
Mailing Address - Fax:
Practice Address - Street 1:3060 LOOPDALE LN
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-7659
Practice Address - Country:US
Practice Address - Phone:407-775-2121
Practice Address - Fax:888-272-4324
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY027274-01363A00000X
FLPA9117592363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant