Provider Demographics
NPI:1083617526
Name:LOCKLER, DENIS JAMES (MSN, APRN, ANP-C)
Entity Type:Individual
Prefix:MR
First Name:DENIS
Middle Name:JAMES
Last Name:LOCKLER
Suffix:
Gender:M
Credentials:MSN, APRN, ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 688
Mailing Address - Street 2:
Mailing Address - City:BELLE CHASSE
Mailing Address - State:LA
Mailing Address - Zip Code:70037-0688
Mailing Address - Country:US
Mailing Address - Phone:504-919-7511
Mailing Address - Fax:504-656-2865
Practice Address - Street 1:870 JASON DRIVE
Practice Address - Street 2:
Practice Address - City:BELLE CHASSE
Practice Address - State:LA
Practice Address - Zip Code:70037
Practice Address - Country:US
Practice Address - Phone:504-919-7511
Practice Address - Fax:504-656-2865
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-28
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA04755363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4H752Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
LAQ62453Medicare UPIN