Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DEN4364 | DC |
NPI | 1093879553 |
---|---|
Provider Name | Dr. Michele Loraine Parker-Lockett |
First Address | Washington, DC 20002-3334 |
Second Address | Washington, DC 20002-3334 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2006 |
Last Update Date | 06/09/2011 |