Individual
MARSHIL BULLARD LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4303 LUDGATE ST, LUMBERTON, NC 28358-2460
(910) 338-4593
(910) 202-4973
Mailing address
4303 LUDGATE ST, LUMBERTON, NC 28358-2460
(910) 338-4593
(910) 202-4973
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5010745
NC
Other
Enumeration date
07/17/2018
Last updated
11/29/2023
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