Bruce Lancel Bernardo Lara, SUBMARINE IDC is a military health care provider in Groton, AE. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Bruce Lancel Bernardo Lara, SUBMARINE IDC NPI is 1912558610. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
FPO, AE, 09587-2417
GROTON, AE
ZIP 06340
Phone: (714) 343-4488
The enumeration date for this NPI number is 9/24/2019 and was last updated on 9/24/2019.