MR. JUSTIN RAY LANCASTER IDC
NPI 1073831376
Military Health Care Provider - Independent Duty Corpsman in Gulfport, MS

Active since May 11, 2010
5301 BAINBRIDGE AVE, GULFPORT, MS 39501(228) 871-4158 Get Directions Write a Review

NPPES record last updated: May 11, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Justin Ray Lancaster Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JUSTIN RAY LANCASTER IDC (NPI 1073831376) is an individual independent duty corpsman provider in Gulfport, Mississippi and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1073831376
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. JUSTIN RAY LANCASTERCredential: IDC
Location Address5301 BAINBRIDGE AVEGulfport, MS 39501-9026
Mailing Address2005 Overland TrlCorpus Christi, TX 78410-1857 · (619) 379-4166
Sole ProprietorNo
Enumeration DateMay 11, 2010
NPI 1073831376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
5301 BAINBRIDGE AVE, Gulfport, MS 39501

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Military Hospital (Military General Acute Care Hospital. Operational (Transportable))
5301 BAINBRIDGE AVE
GULFPORT, MS 39501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Lancaster's NPI number?

The NPI number for Justin Lancaster is 1073831376. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Justin Lancaster located?

Justin Lancaster practices at 5301 Bainbridge Ave, Gulfport, MS 39501. The listed phone number is (228) 871-4158.

What is Justin Lancaster's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Justin Lancaster was last updated on May 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.