Provider Demographics
NPI:1932530318
Name:LOCKHART, BILLY III (D,C)
Entity Type:Individual
Prefix:DR
First Name:BILLY
Middle Name:
Last Name:LOCKHART
Suffix:III
Gender:M
Credentials:D,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 CLEARVIEW PKWY
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-4618
Mailing Address - Country:US
Mailing Address - Phone:504-454-2000
Mailing Address - Fax:504-888-5426
Practice Address - Street 1:101 CLEARVIEW PKWY
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-4618
Practice Address - Country:US
Practice Address - Phone:504-454-2000
Practice Address - Fax:504-888-5426
Is Sole Proprietor?:No
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1654111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor