Individual
MR. ERIC LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1138 CRESTMOOR DR, SHREVEPORT, LA 71107-5523
(972) 748-4402
Mailing address
1138 CRESTMOOR DR, SHREVEPORT, LA 71107-5523
(972) 748-4402
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
01975202
LA
Other
Enumeration date
04/23/2022
Last updated
04/23/2022
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