Individual provider · Type 1 NPI
Justin Ray Lancaster, IDC
Independent Duty Corpsman · Gulfport, MS
Practice location
5301 Bainbridge Ave
Gulfport, MS 39501-9026
Mailing address
2005 Overland Trl
Corpus Christi, TX 78410-1857
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | None listed |
Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…
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About NPI 1073831376
Justin Ray Lancaster, IDC's National Provider Identifier is 1073831376, issued on May 11, 2010. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Gulfport, MS. The record was last updated on May 11, 2010.