Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRUCE LANCEL BERNARDO LARA, SUBMARINE IDC
Active Sole ProprietorBRUCE LANCEL BERNARDO LARA, SUBMARINE IDC is a Military Health Care Provider healthcare provider located in GROTON, APO/FPO Europe, Middle East & Africa. NPI 1912558610 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · GROTON, AE
Registration Details
- NPI Number
- 1912558610
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 24, 2019 (6.9222011927607 yrs)
- Last Updated
- Sep 24, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
FPO, AE, 09587-2417GROTON, AE, 06340Browse AE providers · Browse ZIP 06340
- Phone
- 7143434488
- Primary Specialty
-
Military Health Care Provider
171000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.