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Justin Lancaster, IDC
NPI 1073831376 · on the registry since 2010
Practice
- Address
- 5301 Bainbridge Ave
Gulfport, MS 39501 - Phone
- (228) 871-4158
- Organisation at this address
- Nbhc Gulfport Ms
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Independent Duty Corpsman
1710I1002X
- Sex
- Male
- Record last updated
- 2010-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi