Provider Demographics
NPI:1144734294
Name:LOCKHEED MARTIN CORPORATION
Entity type:Organization
Organization Name:LOCKHEED MARTIN CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARLEECE
Authorized Official - Middle Name:S
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-548-2348
Mailing Address - Street 1:9500 GODWIN DR BLDG 400044
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4166
Mailing Address - Country:US
Mailing Address - Phone:703-367-3950
Mailing Address - Fax:
Practice Address - Street 1:9500 GODWIN DR BLDG 400044
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4166
Practice Address - Country:US
Practice Address - Phone:703-367-3950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-28
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health