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Edward Lucero JR., SFIDC
Independent Duty Corpsman in Lakeside, California
NPI 1275957474

Edward Lucero JR. is a Independent Duty Corpsman based in Lakeside, CA and is specialized in Independent Duty Corpsman. Edward Lucero JR. practices in Lakeside, CA and has the professional credentials of SFIDC. The NPI Number for Edward Lucero JR. is 1275957474 and holds a License No. (California).

The current practice location address for Edward Lucero JR. is 11207 Gold Bar Way Apt 130, Lakeside, CA and can be reached out via phone at 619-368-8865.

Location: 11207 Gold Bar Way Apt 130, Lakeside, CA, 92040-1367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275957474
Provider Name
Edward Lucero JR.
Credential
SFIDC
Provider Entity Type
Individual
Gender
Male
Address
11207 Gold Bar Way Apt 130, Lakeside, CA, 92040-1367
Phone Number
619-368-8865
Fax Number
Provider Enumeration Date
02/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11207 Gold Bar Way Apt 130
City
Lakeside
State
California
Zip
92040-1367
Phone Number
619-368-8865
Fax Number
person
Provider Business Mailing Address Details
Address
11207 Gold Bar Way Apt 130
City
Lakeside
State
California
Zip
92040-1367
Phone Number
619-368-8865
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
1710I1002X
License No.
()
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
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