Lonnie Jay Reardon, SUBMARINE IDC
NPI #1982244737 in Groton, Connecticut
Provider Information
- NPI Number
- 1982244737
- Entity Type
- Individual
- Name
- Lonnie Jay Reardon, SUBMARINE IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- SUBMARINE IDC
- Enumeration Date
- Jan 9, 2020
- Last Updated
- Jan 9, 2020
Practice Location
- Address
- 55 SOUTH RD APT 12C
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-4660
- Phone
- (224) 436-0181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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