NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1083868186
LACKNEY
MICHAEL
STEPHEN
DTHC ARLINGTON NAVY ANNEX CLINIC
WASHINGTON
DC
203700001
1215027008
PARK
BRIAN
18436 ROSCOE BLVD
NORTHRIDGE
CA
913254107
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