Doctor Name: | MELISSA LOCKLEAR |
NPI Number: | 1023355195 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 186027 |
Business Practice Address: | 506 Highway 301 N Dillon, SC - 295362958 |
Business Phone Number: | 8436273516 |
Business Fax Number: | 8436273663 |
Mailing Address: | 506 Highway 301 N, DILLON |
State: | SC |
Postal Code: | 295362958 |
Phone Number: | 8436273516 |
Fax Number: | 8436273663 |
NPI Enumeration Date: | 01/10/2013 |
NPI Last Update Date: | 11/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 186027 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |