NPI 1497199848

Lisa J Lakin, IDC

Practitioner Independent Duty Corpsman Coronado, CA

Practice location

Address: 1415 Leyte Rd APT C, Coronado, CA 92118-3180
Phone: (619) 710-9128

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1497199848
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Apr 2013
Record last updated: 27 Apr 2013

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.