Lance B Derosier
Military Health Care Provider, Independent Duty Medical Technicians in Fairchild Afb, Washington
1588333876- Practice location
- 300 N Short St, Fairchild Afb, WA 99011-9530
- Phone
- 425-501-9301
- Fax
- —
- Last updated
- September 9, 2021
Lance Bryan Derosier is a Military Health Care Provider, Independent Duty Medical Technicians based in Fairchild Afb, WA. Lance Bryan Derosier practices in Fairchild Afb, WA. The NPI Number for Lance Bryan Derosier is 1588333876. The current practice location address for Lance Bryan Derosier is 300 N Short St, Fairchild Afb, WA 99011-9530 and can be reached out via phone at 425-501-9301.
Provider Profile Details
- NPI Number
- 1588333876
- Provider Name
- Lance Bryan Derosier
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 300 N Short St, Fairchild Afb, WA 99011-9530
- Phone Number
- 425-501-9301
- Primary Taxonomy
- Military Health Care Provider, Independent Duty Medical Technicians · 1710I1003X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 9, 2021
- Last Update Date
- September 9, 2021
- Certification Date
- September 9, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 N Short St
Fairchild Afb, WA 99011-9530 - City
- Fairchild Afb
- State
- Washington
- Zip
- 99011-9530
- Phone Number
- 425-501-9301
Provider Business Mailing Address Details
- Address
- Psc 1 Box 631
Apo, AE 09009-0007 - City
- Apo
- State
- AE
- Zip
- 09009-0007
License Information
- Taxonomy
- Military Health Care Provider, Independent Duty Medical Technicians · 1710I1003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Military Health Care Provider, Independent Duty Medical Technicians providers near Fairchild Afb, WA
View all Military Health Care Provider, Independent Duty Medical Technicians providers in Fairchild Afb →Frequently Asked Questions
What is the NPI number of Lance B Derosier?
The NPI number of Lance B Derosier is 1588333876. It was assigned on September 9, 2021 and is currently active in the NPPES registry.
What is the specialty of Lance B Derosier?
Lance B Derosier is registered under the primary taxonomy Military Health Care Provider, Independent Duty Medical Technicians (code 1710I1003X).
Where does Lance B Derosier practice?
The practice location is 300 N Short St, Fairchild Afb, WA 99011-9530. The office can be reached at 425-501-9301 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588333876 directly on the NPPES registry website.