# LILLIAN D LOCKETT MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225321441
- **Authorized official:** DR. LILLIAN D LOCKETT M.D. (MANAGING EXECUTIVE)
- **Authorized official phone:** (979) 299-3255

## Contact information

- **Practice address:** 135 OYSTER CREEK DR, SUITE E, LAKE JACKSON, TX 77566-4119
- **Practice address phone:** (979) 299-3255
- **Practice address fax:** (979) 299-3433
- **Mailing address:** 135 OYSTER CREEK DR, SUITE E, LAKE JACKSON, TX 77566-4119
- **Mailing address phone:** (979) 299-3255
- **Mailing address fax:** (979) 299-3433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | J1463 | TX | Yes |

## Other

- **Enumeration date:** 05/20/2011
- **Last updated:** 05/20/2011