Lance Bryan Derosier
NPI #1588333876 in Fairchild Afb, Washington
Provider Information
- NPI Number
- 1588333876
- Entity Type
- Individual
- Name
- Lance Bryan Derosier
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Enumeration Date
- Sep 9, 2021
- Last Updated
- Sep 9, 2021
Practice Location
- Address
- 300 N SHORT ST
- City
- Fairchild Afb
- State
- Washington
- ZIP Code
- 99011-9530
- Phone
- (425) 501-9301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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