Provider Demographics
NPI:1972926251
Name:HOCKETT, LORRIE (RN)
Entity type:Individual
Prefix:
First Name:LORRIE
Middle Name:
Last Name:HOCKETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4424 ROAD 415 S
Mailing Address - Street 2:
Mailing Address - City:HAVRE
Mailing Address - State:MT
Mailing Address - Zip Code:59501-7904
Mailing Address - Country:US
Mailing Address - Phone:406-399-3620
Mailing Address - Fax:
Practice Address - Street 1:4424 ROAD 415 S
Practice Address - Street 2:
Practice Address - City:HAVRE
Practice Address - State:MT
Practice Address - Zip Code:59501-7904
Practice Address - Country:US
Practice Address - Phone:406-399-3620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN27745163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse