Individual
DATOYA S LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2235 POYDRAS ST STE 2, NEW ORLEANS, LA 70119-7561
(504) 524-7205
Mailing address
4633 AMERICA ST, NEW ORLEANS, LA 70126-4149
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20170327
LA
Other
Enumeration date
03/16/2018
Last updated
03/17/2018
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