Organization
WOUND TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENIS JAMES LOCKLER ANP (MEMBER)
(504) 919-7511
Entity
Organization
Contact information
Practice address
636 LOBDELL AVE, BATON ROUGE, LA 70806-6318
(504) 919-7511
(504) 656-2865
Mailing address
PO BOX 688, BELLE CHASSE, LA 70037-0688
(504) 919-7511
(504) 656-2865
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP04755
LA
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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