Individual
DR. SANDRA KAYE LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
204 UNION CHAPEL RD, PEMBROKE, NC 28372
(910) 521-9744
(910) 521-1310
Mailing address
PO BOX 2109, PEMBROKE, NC 28372
(910) 521-9744
(910) 521-1310
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1318
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-0910C
—
NC
Enumeration date
08/26/2006
Last updated
02/05/2008
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