Provider Demographics
NPI:1053825844
Name:LOCKHEED MARTIN
Entity Type:Organization
Organization Name:LOCKHEED MARTIN
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:MD
Authorized Official - Phone:301-548-2348
Mailing Address - Street 1:86 S COBB DR SE BLDG 95
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30063-0001
Mailing Address - Country:US
Mailing Address - Phone:770-494-2636
Mailing Address - Fax:
Practice Address - Street 1:86 S COBB DR SE BLDG 95
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30063-0001
Practice Address - Country:US
Practice Address - Phone:770-494-2636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-01
Last Update Date:2017-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health