NPI 1003325192

Robert Lund, IDC

Practitioner Independent Duty Corpsman San Diego, CA

Practice location

Address: 34101 Farenholt Ave Bldg 14, San Diego, CA 92134-7000
Phone: (864) 201-6478

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1003325192
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Sep 2017
Record last updated: 21 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.