NPI 1073831376

Justin Ray Lancaster, IDC

Practitioner Independent Duty Corpsman Gulfport, MS

Practice location

Address: 5301 Bainbridge Ave, Gulfport, MS 39501-9026
Phone: (228) 871-4158
Mailing address: 2005 Overland Trl, Corpus Christi, TX 78410-1857

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Mississippi →

Registry record

NPI: 1073831376
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2010
Record last updated: 11 May 2010

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.