Provider Demographics
NPI:1700259272
Name:LOCKABY, CHERRINE E (RN)
Entity Type:Individual
Prefix:
First Name:CHERRINE
Middle Name:E
Last Name:LOCKABY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CHERRINE
Other - Middle Name:E
Other - Last Name:BLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21182 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:HOWE
Mailing Address - State:OK
Mailing Address - Zip Code:74940-3045
Mailing Address - Country:US
Mailing Address - Phone:918-658-2189
Mailing Address - Fax:918-658-2180
Practice Address - Street 1:21182 MEADOW LN
Practice Address - Street 2:
Practice Address - City:HOWE
Practice Address - State:OK
Practice Address - Zip Code:74940-3045
Practice Address - Country:US
Practice Address - Phone:918-658-2189
Practice Address - Fax:918-658-2180
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator