MR. Justin Ray Lancaster, IDC
NPI #1073831376 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1073831376
- Entity Type
- Individual
- Name
- MR. Justin Ray Lancaster, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- May 11, 2010
- Last Updated
- May 11, 2010
Practice Location
- Address
- 5301 BAINBRIDGE AVE
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501-9026
- Phone
- (228) 871-4158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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