Individual
MRS. DENISE BUSBIN LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2109 VALLEYGATE DR STE 201, FAYETTEVILLE, NC 28304-3571
(910) 486-8880
(910) 486-8886
Mailing address
2109 VALLEYGATE DR STE 201, FAYETTEVILLE, NC 28304-3571
(910) 486-8880
(910) 486-8886
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02826
NC
Other
Enumeration date
04/07/2011
Last updated
09/20/2016
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