| Trucare Family Practice Pllc | |
|
4314 Ludgate St Suite B Lumberton NC 28358-2461 | |
| (910) 671-8766 | |
| (910) 671-8768 |
| Full Name | Trucare Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4314 Ludgate St, Lumberton, North Carolina |
| Authorized Official Name and Position | Vernena Oxendine (CREDENTIALING REP.) |
| Authorized Official Contact | 9106718766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trucare Family Practice Pllc 4314 Ludgate St Suite B Lumberton NC 28358-2461 Ph: (910) 671-8766 | Trucare Family Practice Pllc 4314 Ludgate St Suite B Lumberton NC 28358-2461 Ph: (910) 671-8766 |
| NPI Number | 1598148801 |
|---|---|
| Provider Enumeration Date | 07/06/2015 |
| Last Update Date | 11/17/2020 |
| Medicare PECOS PAC ID | 3678874450 |
|---|---|
| Medicare Enrollment ID | O20151221001426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598148801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2007-01953 (North Carolina) | Primary |
| 207Q00000X | Family Medicine | 2011-00810 (North Carolina) | Secondary |
| Provider Name | Charlene Locklear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083875793 PECOS PAC ID: 6103095120 Enrollment ID: I20110809000428 |
| Provider Name | Lila Jane Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629779632 PECOS PAC ID: 3072978899 Enrollment ID: I20230501002734 |
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