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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. LAWRENCE MILTON PRESTON JR. IDC
NPI 1417919986
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since April 03, 2006
3408 BOB WILSON DR, SAN DIEGO, CA 92104(619) 532-8233 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Lawrence Milton Preston Jr. Idc NPPES

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

MR. LAWRENCE MILTON PRESTON JR. IDC (NPI 1417919986) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1417919986
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. LAWRENCE MILTON PRESTON JR.Credential: IDC
Location Address3408 BOB WILSON DRSan Diego, CA 92104
Mailing Address2672 Villas WaySan Diego, CA 92108-6728 · (619) 471-7647
Phone(619) 532-8233
Sole ProprietorNo
Enumeration DateApril 3, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1417919986 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.
3408 BOB WILSON DR, San Diego, CA 92104
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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 Lawrence Preston's NPI number?

The NPI number for Lawrence Preston is 1417919986. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Lawrence Preston located?

Lawrence Preston practices at 3408 Bob Wilson Dr, San Diego, CA 92104. The listed phone number is (619) 532-8233.

What is Lawrence Preston'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 Lawrence Preston was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.