Individual
ROMUNDA LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 PIERRE AVE, SHREVEPORT, LA 71103-2828
(318) 655-2520
Mailing address
902 PIERRE AVE, SHREVEPORT, LA 71103-2828
(318) 655-2520
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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