MS. Lira R Martinez, PA-C

NPI #1609152065 in Appleton, Wisconsin

Provider Information

NPI Number: 1609152065
Entity Type: Individual
Name: MS. Lira R Martinez, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 31, 2011
Last Updated: Sep 15, 2012

Practice Location

Address: 1501 S MADISON ST
City: Appleton
State: Wisconsin
ZIP Code: 54915-1846
Phone: (920) 730-4443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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