Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lance Bryan Derosier

Individual provider Independent Duty Medical Technicians · NPI 1588333876

Lance Bryan Derosier is an Independent Duty Medical Technicians in Fairchild AFB, Washington. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

300 N Short St
Fairchild AFB, WA 99011-9530
Phone: (425) 501-9301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1588333876
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2021
Last updated in NPPESSeptember 9, 2021
Certification dateSeptember 9, 2021
Mailing addressPsc 1 Box 631, Apo, AE 09009-0007

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