Individual
DR. CHARLENE RESHELL LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4314 LUDGATE ST, SUITE B, LUMBERTON, NC 28358-2461
(910) 671-8766
(910) 671-8768
Mailing address
4314 LUDGATE ST, SUITE B, LUMBERTON, NC 28358-2461
(910) 671-8766
(910) 671-8768
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011-00810
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917513
—
NC
Enumeration date
06/24/2008
Last updated
02/22/2021
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