Individual
DR. IRLENE LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 WALTER REED RD, FAYETTEVILLE, NC 28304-4437
(910) 323-4733
(910) 323-2097
Mailing address
1201 WALTER REED RD, FAYETTEVILLE, NC 28304-4437
(910) 323-4733
(910) 323-2097
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
9900588
NC
207RP1001X
Pulmonary Disease Physician
Primary
9900588
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0438746
UNITED HEALTHCARE
NC
01
—
1205Y
BLUE CROSS & BLUE SHIELD
NC
05
—
891205Y
—
NC
Enumeration date
11/08/2006
Last updated
07/28/2016
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