Individual provider · Type 1 NPI

Lawrence Milton Preston Jr., IDC

Independent Duty Corpsman · San Diego, CA

NPI number 1417919986 Active

Practice location

3408 Bob Wilson Dr
San Diego, CA 92104

Call (619) 532-8233 Map

Mailing address

2672 Villas Way
San Diego, CA 92108-6728

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 1417919986

Lawrence Milton Preston Jr., IDC's National Provider Identifier is 1417919986, issued on Apr 3, 2006. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in San Diego, CA. The record was last updated on Jul 13, 2026.