Doctor Name: | ROXANN LOCKLEAR |
NPI Number: | 1538227715 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARDMS |
License Number: | 100161 |
Business Practice Address: | 5277 Mount Zion Church Rd Maxton, NC - 283649288 |
Business Phone Number: | 9108434629 |
Business Fax Number: | |
Mailing Address: | Po Box 4059, PEMBROKE |
State: | NC |
Postal Code: | 283724059 |
Phone Number: | 9108434629 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 08/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | 100161 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |