Individual
JULIA LOCKAMY LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1145 SILAS CREEK PKWY, WINSTON SALEM, NC 27127-5627
(336) 792-1515
Mailing address
1145 SILAS CREEK PKWY, WINSTON SALEM, NC 27127-5627
(336) 792-1515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5012253
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5012253
PRESCRIBING NUMBER
NC
Enumeration date
09/12/2019
Last updated
07/26/2021
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