Provider Demographics
NPI:1477917136
Name:LOKIS, LANCIE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:LANCIE
Middle Name:
Last Name:LOKIS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 KNOLLWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3237
Mailing Address - Country:US
Mailing Address - Phone:757-553-7171
Mailing Address - Fax:
Practice Address - Street 1:805 KNOLLWOOD CT
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3237
Practice Address - Country:US
Practice Address - Phone:757-553-7171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-08
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0134899261QC1500X
VA0024173631363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health