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NPI Code Detail

MEDICARE: MS. CHRISTIANNA M LOCKETT

MEDICARE: MS. CHRISTIANNA M LOCKETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorLA

General Provider Information

NPI Number : 1174489892
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTIANNA M LOCKETT
Provider Business Mailing Address
First Line : 6369 DIANNE ST
Second Line :
City : SHREVEPORT
State : LA
Zip : 71119-5213
Country : US
Telephone Number : 318-670-3159
Fax Number : 318-754-4766
Provider Business Practice Location Address
First Line : 3776 YOUREE DR
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-2132
Country : US
Telephone Number : 318-670-3159
Fax Number : 318-754-4766
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2025
Last Update Date : 12/26/2025

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Directions to “ MS. CHRISTIANNA M LOCKETT ” Practice Location

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