Rodney Lybarger

Individual provider Active NPI Independent Duty Corpsman · Foster, RI

NPI 1578701751 · NPPES record last updated Jan 27, 2009

Key facts

NPI
1578701751
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Corpsman 1710I1002X
Practice address
7B Jencks Rd
Foster, RI 02825-5191
Phone
(401) 474-4903
NPI assigned
Jan 27, 2009
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Yes

Addresses

Primary practice location

7B Jencks Rd
Foster, RI 02825-5191

Mailing address

PO Box 555191
Camp Pendleton Naval Hospital
Camp Pendleton, CA 92055-5191

Other providers in Foster, RI

All providers in Foster, RI · Independent Duty Corpsman in Rhode Island

Sources for this page

Verify at the official NPI Registry.