Individual
DONALD DWAYNE LOCKLEAR X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 E WARDELL DR, PEMBROKE, NC 28372-7998
(910) 521-2816
(910) 521-3583
Mailing address
60 COMMERCE PLAZA CIR, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
240044
NC
Other
Enumeration date
05/09/2019
Last updated
09/16/2020
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