Individual
MARK LOCKLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
154 PINE TREE RD, OCEAN CITY, MD 21842-4646
(410) 603-4601
Mailing address
154 PINE TREE RD, OCEAN CITY, MD 21842-4646
(410) 603-4601
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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