JOSHUA ISAAC LAZENBY

SAN DIEGO, CA
NPI1437740131
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2021-01-27
Last Update Date2021-01-27
Business Address
JOSHUA ISAAC LAZENBY US Navy HM IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Mailing Address
JOSHUA ISAAC LAZENBY US Navy HM IDC
1391 WOODEN VALLEY ST
CHULA VISTA, CA 91913-2949
Phone number: 704-239-3585