Provider Demographics
NPI:1487804878
Name:ARCILLA, FRANCIS LALISAN (INDEPENDENT DUTY COR)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:LALISAN
Last Name:ARCILLA
Suffix:
Gender:M
Credentials:INDEPENDENT DUTY COR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 561
Mailing Address - Street 2:BOX 3303
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96310-0034
Mailing Address - Country:US
Mailing Address - Phone:0018182-779-6794
Mailing Address - Fax:
Practice Address - Street 1:PSC 561
Practice Address - Street 2:BOX 3303
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96310-0034
Practice Address - Country:US
Practice Address - Phone:0018182-779-6794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman