Clinton Lariscy, IDC
Clinton Lariscy, IDC is an Independent Duty Corpsman in Great Lakes, Illinois. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
3355 Illinois St Recruit Training Command Great LksGreat Lakes, IL 60088
Phone: (847) 688-4643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1164736302 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | July 29, 2010 |
| Last updated in NPPES | July 29, 2010 |
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