Larissa Oxendine Locklear (NPI# 1629539473, PAC ID# 1052644333) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629539473 |
| PAC ID by PECOS | 1052644333 |
| Professional Enrollment ID | I20190603000177 |
| Full Name | Larissa Oxendine Locklear |
| Organization Legal Name | TRUCARE FAMILY PRACTICE PLLC |
| Address |
4314 Ludgate St Suite B Lumberton NC 28358-2461 |
| Phone Number | 9106718766 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678874450 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340050 | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4314 Ludgate St, Suite B, Lumberton, NC 28358-2461 | 9106718766 | TRUCARE FAMILY PRACTICE PLLC |
| Organization Legal Name | TRUCARE FAMILY PRACTICE PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlene Locklear | Family Medicine | Trucare Family Practice Pllc | 4314 Ludgate St, Suite B, Lumberton, NC 28358-2461 |
| Andrea S Simmons | Family Medicine | Trucare Family Practice Pllc | 4314 Ludgate St, Suite B, Lumberton, NC 28358-2461 |
| Street Address |
4314 LUDGATE ST SUITE B |
| City | LUMBERTON |
| State | NC |
| Zip | 28358-2461 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlene Locklear | Family Medicine | Trucare Family Practice Pllc | 4314 Ludgate St, Suite B, Lumberton, NC 28358-2461 |
| Andrea S Simmons | Family Medicine | Trucare Family Practice Pllc | 4314 Ludgate St, Suite B, Lumberton, NC 28358-2461 |
| Mac Montilus | Internal Medicine | 4314 Ludgate St, Lumberton, NC 28358-2461 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Allen | Orthopedic Surgery | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| Bonnie W Skiadiotis | Nurse Practitioner | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| Chris Evan Estrellado | Physical Therapy | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| James W Dove | Certified Registered Nurse Anesthetist (crna) | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Mary Elizabeth Devine | Certified Registered Nurse Anesthetist (crna) | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Kenneth C Madlangbayan | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| James R Pope Jr. | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Holly H Metzerott | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Jianfeng Zeng | Neurology | 4850 Fayetteville Rd E, Lumberton, NC 28358-2100 | |
| Tonna M Wyatt | Nurse Practitioner | Southeastern Regional Physician Services | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 |
| Find all physicians in zip 28358 | |||
| City | LUMBERTON |
| Zip Code | 28358 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LUMBERTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Larissa Oxendine Locklear.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.