Organization
LOCKLEAR MEDICAL SUPPLIES,INC
Active
Other names
Durable Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VELISSA M LOCKLEAR COFM (OFFICE MANGER)
(910) 844-1001
Entity
Organization
Contact information
Practice address
114 N PATTERSON ST., MAXTON, NC 28364
(910) 844-1001
(910) 844-1035
Mailing address
114 N PATTERSON ST, MAXTON, NC 28364-1735
(910) 844-1001
(910) 844-1035
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000969504A
—
GA
01
—
045MM
BCBS
NC
05
—
7703309
—
NC
05
—
DE1865
—
SC
Enumeration date
01/26/2006
Last updated
09/29/2011
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