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Organization

LOCKLEAR FAMILY PRACTICE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JODELLA LOCKLEAR FNP-C (NURSE PRACTITIONER, PRESIDENT)
(910) 775-0210
Entity
Organization

Contact information

Practice address
17 LIVERMORE DR, PEMBROKE, NC 28372-7282
(910) 775-0210
(910) 775-0110
Mailing address
17 LIVERMORE DR, PEMBROKE, NC 28372-7282
(910) 775-0210
(910) 775-0110

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
09/19/2017
Last updated
09/22/2022
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