SearchCaliforniaIndependent Duty Corpsman

Edward Lucero, SFIDC

NPI 1275957474 · on the registry since 2014 · sole proprietor

Practice

Address
11207 Gold Bar Way Apt 130
Lakeside, CA 92040
Phone
(619) 368-8865

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Sex
Male
Record last updated
2014-02-07

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 California