Individual
MRS. DARLA GAY LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PN
Contact information
Practice address
5400 EUPER LN, FORT SMITH, AR 72903-3232
(479) 431-6870
Mailing address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
L0068843
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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