Lockett, Laura Beasley

Lockett, Laura Beasley is an individual health care provider with primary practice located at 923 E Central Ave , La Follette TN 37766-2768. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lockett, Laura Beasley can be contacted via phone (423) 907-1200.

Contact Information

Primary practice address
923 E Central Ave La Follette TN 37766-2768
Phone: (423) 907-1200
Fax: (865) 291-3228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8105 Tennessee

Profile Details

NPI number 1154360279
LBN Legal business name Lockett, Laura Beasley
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Feb 3rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154360279 NPPES
Tennessee Other P00295811 MEDICARE RAILROAD
Tennessee MEDICAID 78015559 MEDICARE RAILROAD
Tennessee Other 4057237 MEDICARE RAILROAD

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