Organization
LA GARDERIE ADULT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCIE LOKIS PMHNP-BC (NURSE PRACTITIONER)
(757) 553-7171
Entity
Organization
Contact information
Practice address
1604 PROSPECT DR, CHESAPEAKE, VA 23322-1732
(757) 553-7171
Mailing address
805 KNOLLWOOD CT # 2, CHESAPEAKE, VA 23320-3237
(757) 553-7171
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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