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Individual

JUSTIN PAUL LACHNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
34101 FARENHOLT AVENUE, SAN DIEGO, CA 92134
(904) 451-7813
Mailing address
2716 BARBOUR DR, SAN DIEGO, CA 92154-1445
(904) 451-7813

Taxonomy

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

Other

Enumeration date
04/14/2015
Last updated
04/14/2015
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