Organization
LILLIAN D LOCKETT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLIAN D LOCKETT M.D. (MANAGING EXECUTIVE)
(979) 299-3255
Entity
Organization
Contact information
Practice address
135 OYSTER CREEK DR, SUITE E, LAKE JACKSON, TX 77566-4119
(979) 299-3255
(979) 299-3433
Mailing address
135 OYSTER CREEK DR, SUITE E, LAKE JACKSON, TX 77566-4119
(979) 299-3255
(979) 299-3433
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
J1463
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034120801
—
TX
Enumeration date
05/20/2011
Last updated
05/20/2011
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