Individual
LARETHA URETT LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 54TH ST, SUITE 100-A, COLUMBUS, GA 31904-4998
(706) 687-3864
Mailing address
1435 54TH ST, SUITE 100-A, COLUMBUS, GA 31904-4998
(706) 687-3864
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013438
GA
Other
Enumeration date
10/20/2006
Last updated
09/23/2009
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