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Individual

MR. BRANDON LYLE LINDBECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HMC SS FMF IDC

Contact information

Practice address
NAVAL UNSERSEA MEDICAL INSTITUTE 159 TROUT AVE, NAVSUBASE NLON, GROTON, CT 06349-5159
(860) 694-2876
(860) 694-3874
Mailing address
NAVAL UNSERSEA MEDICAL INSTITUTE 159 TROUT AVE, NAVSUBASE NLON, GROTON, CT 06349-5159
(860) 694-2876
(860) 694-3874

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
07/01/2008
Last updated
07/01/2008
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