Warren, Lucas Wyatt

Warren, Lucas Wyatt is an sole proprietor health care provider with primary practice located at 1St Marine Special Operations Bn. Medical Box 555341, Fpo AE 92055-5341. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Warren, Lucas Wyatt can be contacted via phone (760) 725-6579.

Contact Information

Primary practice address
1St Marine Special Operations Bn. Medical Box 555341 Fpo AE 92055-5341
Phone: (760) 725-6579
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X California

Profile Details

NPI number 1336486117
LBN Legal business name Warren, Lucas Wyatt
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2013
Last updated Jan 14th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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