Morrell J Lavender
Military Health Care Provider, Independent Duty Corpsman in San Diego, CA. Individual provider (NPI-1).
NPI number1629033907
StatusActive
Last updated in NPPESJan 10, 2008
Details
- NPI
- 1629033907
- Entity type
- Individual (NPI-1)
- Name
- Mr. Morrell J Lavender
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2006
- Last updated
- Jan 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
2650 Stockton Rd Bldg 624Naval Training Center
San Diego, CA 92106-6000
Phone 619-524-5733 · Fax 619-524-0018
Mailing address
2650 Stockton Rd Bldg 624Naval Training Center
San Diego, CA 92106-6000
Phone 619-524-5733 · Fax 619-524-0018
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