Individual provider · Type 1 NPI
Noe Enrique Lopez, IDC STUDENT
Independent Duty Corpsman · Camp Pendleton, CA
Practice location
33 Abhc, Bldg 330305
Camp Pendleton, CA 92055
Mailing address
9510 Autumn Run Ln
Converse, TX 78109-4650
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 1750009635
Noe Enrique Lopez, IDC STUDENT's National Provider Identifier is 1750009635, issued on Aug 17, 2022. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Camp Pendleton, CA. The record was last updated on Mar 20, 2023.