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

Individual provider Independent Duty Corpsman · NPI 1336486117

Lucas Wyatt Warren, IDC is an Independent Duty Corpsman in FPO, Armed Forces Europe. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
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Practice location Address may be wrong

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1ST Marine Special Operations Bn Medical Box 555341
FPO, AE 92055-5341
Phone: (760) 725-6579
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Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X (CA)

Record details

NPI number1336486117
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedJanuary 14, 2013
Last updated in NPPESJanuary 14, 2013

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