Individual
MRS. KAWANA SHANTA LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
106 BUSINESS PARK AVE, DENHAM SPRINGS, LA 70726
(888) 417-5250
(225) 341-8756
Mailing address
157 E LAKEVIEW DR, LA PLACE, LA 70068-2411
(601) 278-9688
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP09852
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP09852
LA
Other
Enumeration date
03/02/2018
Last updated
09/14/2023
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