Provider Demographics
NPI:1578835831
Name:LOCKFIELD, DEVON C (DPT)
Entity Type:Individual
Prefix:MRS
First Name:DEVON
Middle Name:C
Last Name:LOCKFIELD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:DEVON
Other - Middle Name:C
Other - Last Name:NOLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:103 NORTHPARK BLVD.
Mailing Address - Street 2:SUITE 205
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-6125
Mailing Address - Country:US
Mailing Address - Phone:985-871-7878
Mailing Address - Fax:985-871-9355
Practice Address - Street 1:103 NORTHPARK BLVD.
Practice Address - Street 2:SUITE 205
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-6125
Practice Address - Country:US
Practice Address - Phone:985-871-7878
Practice Address - Fax:985-871-9355
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA08183225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist