Individual
MR. DAVIN NICOLAS LAURELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SURFACE FORCE IDC
Contact information
Practice address
1300 HELICOPTER RD BLDG 3854, VIRGINIA BEACH, VA 23459-8913
(757) 756-6749
Mailing address
1300 HELICOPTER RD BLDG 3854, VIRGINIA BEACH, VA 23459-8913
(757) 756-6749
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/24/2016
Last updated
01/24/2023
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