Organization
PREVENTATIVE HEALTH NP IN FAMILY HEALTH LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENA LOCKLEAR NP (OWNER)
(910) 474-7810
Entity
Organization
Contact information
Practice address
1323 CLIPPER RD, NORTH MYRTLE BEACH, SC 29582
(910) 474-7810
Mailing address
1323 CLIPPER RD, NORTH MYRTLE BEACH, SC 29582-6874
(910) 474-7810
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/24/2025
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