Michelle K Du Lac, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

113 Lielmanis Ave
Hurlburt Field, FL 32544-5613

Phone

(850) 881-2198

NPI assigned

Jul 21, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1821228149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAGNOLIA AVE",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791110",
            "telephone_number": "850-881-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LIELMANIS AVE",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445613",
            "telephone_number": "850-881-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU LAC",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Nicole Doll, IDMT
• Eric James Donovan, IDMT/NREMT-P
• Melissa Ja-Ok Dooley, MD
• Jason Robert Douville, IDMT
• Jill S Dowd
• Danielle Annette Dufresne, MD
• Jennifer Lynn Echler, LCSW, LISW-S
• Matthew David Edgar, DO
• Alexandra Edwards
• Beverly Eichman, PA

• Independent Duty Medical Technicians in Hurlburt Field, FL
• Providers in Hurlburt Field, FL by specialty
• Independent Duty Medical Technicians in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.