Provider Demographics
NPI:1861139339
Name:LOCKLEAR, LORA FRANCES
Entity type:Individual
Prefix:
First Name:LORA
Middle Name:FRANCES
Last Name:LOCKLEAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 SMITTYS DR
Mailing Address - Street 2:
Mailing Address - City:MAXTON
Mailing Address - State:NC
Mailing Address - Zip Code:28364-8069
Mailing Address - Country:US
Mailing Address - Phone:910-374-0147
Mailing Address - Fax:
Practice Address - Street 1:706 N THOMPSON ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-3428
Practice Address - Country:US
Practice Address - Phone:910-353-0109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical