Individual
NANCY E LOCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4000
Mailing address
402 ONEONTA ST, SHREVEPORT, LA 71106-1618
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN102309 AP04864
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529567
—
LA
Enumeration date
03/09/2006
Last updated
08/06/2008
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