Individual
DR. MEREDITH BROOKE WATSON LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 W FAIRBANKS AVE FL 2, WINTER PARK, FL 32789-4720
(407) 635-3024
(321) 203-4626
Mailing address
1111 W FAIRBANKS AVE FL 2, WINTER PARK, FL 32789-4720
(407) 635-3024
(321) 203-4626
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
200800789
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
ME132738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487C
BCBS
NC
01
—
200800789
NC LICENSE
NC
05
—
5909500
—
NC
Enumeration date
05/20/2008
Last updated
08/05/2020
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