Doctor Name: | MR. DENIS JAMES LOCKLER |
NPI Number: | 1083617526 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSN, APRN, ANP-C |
License Number: | 04755 |
Business Practice Address: | 870 Jason Drive Belle Chasse, LA - 70037 |
Business Phone Number: | 5049197511 |
Business Fax Number: | 5046562865 |
Mailing Address: | Po Box 688, BELLE CHASSE |
State: | LA |
Postal Code: | 700370688 |
Phone Number: | 5049197511 |
Fax Number: | 5046562865 |
NPI Enumeration Date: | 05/28/2005 |
NPI Last Update Date: | 12/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 04755 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |