Provider Demographics
NPI:1346881554
Name:LOCKETTE, DELPHINA
Entity Type:Individual
Prefix:
First Name:DELPHINA
Middle Name:
Last Name:LOCKETTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 HUBERTVILLE RD
Mailing Address - Street 2:
Mailing Address - City:JEANERETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70544
Mailing Address - Country:US
Mailing Address - Phone:337-241-5895
Mailing Address - Fax:
Practice Address - Street 1:517 SAINT NICHOLAS ST
Practice Address - Street 2:
Practice Address - City:JEANERETTE
Practice Address - State:LA
Practice Address - Zip Code:70544-5024
Practice Address - Country:US
Practice Address - Phone:337-577-0209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider