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BRUCE LANCEL BERNARDO LARA SUBMARINE IDC
NPI 1912558610
Military Health Care Provider in Groton, AE

Active since September 24, 2019
FPO, AE, 09587-2417, GROTON, AE 06340(714) 343-4488 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bruce Lancel Bernardo Lara Submarine Idc NPPES

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

BRUCE LANCEL BERNARDO LARA SUBMARINE IDC (NPI 1912558610) is an individual military health care provider provider in Groton, AE and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1912558610
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameBRUCE LANCEL BERNARDO LARACredential: SUBMARINE IDC
Location AddressFPO, AE, 09587-2417Groton, AE 06340
Mailing Address80 Deerwood DrGroton, CT 06340-2516 · (714) 343-4488
Phone(714) 343-4488
Sole ProprietorYes
Enumeration DateSeptember 24, 2019
✔ NPI 1912558610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
FPO, AE, 09587-2417, Groton, AE 06340
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Bruce Lancel Lara's NPI number?

The NPI number for Bruce Lancel Lara is 1912558610. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Bruce Lancel Lara located?

Bruce Lancel Lara practices at Fpo, Ae, 09587-2417, Groton, AE 06340. The listed phone number is (714) 343-4488.

What is Bruce Lancel Lara's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Bruce Lancel Lara was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.