Healthcare Provider Details

I. General information

NPI: 1952330201
Provider Name (Legal Business Name): CLAUDE VERNON LOCKHART SR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2313 E MAIN ST STE C
NEW IBERIA LA
70560-4091
US

IV. Provider business mailing address

8001 YOUREE DR SUITE 300
SHREVEPORT LA
71115-2302
US

V. Phone/Fax

Practice location:
  • Phone: 337-256-8779
  • Fax: 337-359-4997
Mailing address:
  • Phone: 318-212-3800
  • Fax: 318-212-3895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number021612
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: