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LONNIE JAY REARDON SUBMARINE IDC
NPI 1982244737
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since January 09, 2020
55 SOUTH RD APT 12C, GROTON, CT 06340(224) 436-0181 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lonnie Jay Reardon Submarine Idc NPPES

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

LONNIE JAY REARDON SUBMARINE IDC (NPI 1982244737) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1982244737
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameLONNIE JAY REARDONCredential: SUBMARINE IDC
Location Address55 SOUTH RD APT 12CGroton, CT 06340-4660
Mailing Address55 South Rd Apt 12cGroton, CT 06340-4660
Phone(224) 436-0181
Sole ProprietorNo
Enumeration DateJanuary 9, 2020
✔ NPI 1982244737 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.
55 SOUTH RD APT 12C, Groton, CT 06340
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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 Lonnie Reardon's NPI number?

The NPI number for Lonnie Reardon is 1982244737. It was assigned to this individual provider in the NPPES registry on January 9, 2020.

Where is Lonnie Reardon located?

Lonnie Reardon practices at 55 South Rd Apt 12C, Groton, CT 06340. The listed phone number is (224) 436-0181.

What is Lonnie Reardon'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 Lonnie Reardon was last updated on January 9, 2020. 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.