MISS Lori Louise Martin, PAC
NPI #1538159298 in Fort Eustis, Virginia
Provider Information
- NPI Number
- 1538159298
- Entity Type
- Individual
- Name
- MISS Lori Louise Martin, PAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PAC
- Enumeration Date
- Oct 25, 2005
- Last Updated
- May 29, 2014
Practice Location
- Address
- 576 JEFFERSON AVE
- Address 2
- PRIMARY CARE CLINIC RM 330
- City
- Fort Eustis
- State
- Virginia
- ZIP Code
- 23604-1602
- Phone
- (757) 314-7613
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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