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Individual

DEENA JOANNE LOCKLEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
460 COUNTRY CLUB RD, LUMBERTON, NC 28360-9494
(910) 671-3272
(910) 671-3484
Mailing address
460 COUNTRY CLUB RD, LUMBERTON, NC 28360-9494
(910) 671-3272
(910) 671-3484

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
836973

Other

Enumeration date
11/30/2007
Last updated
11/30/2007
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