Individual provider · Type 1 NPI
Clinton Lariscy, IDC
Independent Duty Corpsman · Great Lakes, IL
Practice location
3355 Illinois St, Recruit Training Command Great Lakes
Great Lakes, IL 60088
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 1164736302
Clinton Lariscy, IDC's National Provider Identifier is 1164736302, issued on Jul 29, 2010. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Great Lakes, IL. The record was last updated on Jul 29, 2010.