Individual
CINDY B LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
360 HARDY RD, MISSISSIPPI STATE, MS 39752
(662) 325-1614
(662) 325-8888
Mailing address
264 POOR HOUSE RD E, STARKVILLE, MS 39759-5812
(662) 462-8018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R851841
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05282216
—
MS
Enumeration date
11/07/2005
Last updated
02/04/2013
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