Individual
LEANNA LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 UNIVERSITY PKWY STE 202, YAKIMA, WA 98901-1448
(509) 452-5100
Mailing address
3007 BORST AVE APT B6, CENTRALIA, WA 98531-2244
(360) 909-4356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61493787
WA
Other
Enumeration date
01/16/2020
Last updated
07/02/2024
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