Organization
B AND L LOCKHART, P.L.L.C
Active
Other names
Dual Image Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN R LOCKHART DDS, MS (ORTHODONTIST/OWNER)
(704) 334-6907
Entity
Organization
Contact information
Practice address
1315 MATHESON AVE, CHARLOTTE, NC 28205-1670
(704) 334-6907
Mailing address
2620 W ARROWOOD RD STE 102, CHARLOTTE, NC 28273-6262
(704) 269-8495
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9590
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316280670
NPI
NC
01
—
1578842001
NPI
NC
Enumeration date
04/23/2018
Last updated
06/11/2019
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