LARRY LAMONT LOCKETT

LIVONIA, MI
NPI1740834902
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703108445)
Enumeration Date2019-07-26
Last Update Date2019-07-26
Business Address
LARRY LAMONT LOCKETT
37450 SCHOOLCRAFT RD STE 110
LIVONIA, MI 48150-1000
Phone number: 734-458-4601
Mailing Address
LARRY LAMONT LOCKETT
4860 HARRISON ST
WAYNE, MI 48184-2219
Phone number: 313-772-1780