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Contact Information

JUSTIN R LANCASTER, IDC
5301 BAINBRIDGE AVE
GULFPORT, MS39501-9026
 Phone: 228-871-4158
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for JUSTIN R LANCASTER · (Male)

NPI Number 1073831376
Status Active
Credentials IDC
Entity Individual
Enumeration date 05/11/2010
Last updated 05/11/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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