NPI 1063756963

Desmond Lafleur

Practitioner Independent Duty Corpsman Virginia Beach, VA

Practice location

Address: 865 Westminster Ln, Virginia Beach, VA 23454-3451
Phone: (757) 215-6572

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1063756963
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2012
Record last updated: 15 Nov 2012

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.