Individual provider · Type 1 NPI

Justin Ray Lancaster, IDC

Independent Duty Corpsman · Gulfport, MS

NPI number 1073831376 Active

Practice location

5301 Bainbridge Ave
Gulfport, MS 39501-9026

Mailing address

2005 Overland Trl
Corpus Christi, TX 78410-1857

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone 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.