Provider Demographics
NPI:1568976603
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:MD
Authorized Official - Phone:301-548-2348
Mailing Address - Street 1:1701 W MARSHALL DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-2704
Mailing Address - Country:US
Mailing Address - Phone:972-603-3000
Mailing Address - Fax:
Practice Address - Street 1:1701 W MARSHALL DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-2704
Practice Address - Country:US
Practice Address - Phone:972-673-3000
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