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MS. LAURA LEE MARTIN FNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1598304438
Individual Registrant:MS. LAURA LEE MARTIN FNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
925 2ND AVE MONTE VISTA, CO 81144-1432 US
Tel: 719-852-2512 Fax: 719-852-3923
Tel: 719-852-2512 Fax: 719-852-3923
Contact information for business:
925 2ND AVE MONTE VISTA, CO 81144-1432 US
Tel: 719-852-2512 Fax: --
Tel: 719-852-2512 Fax: --
Registration Information:
NPI: 1598304438
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | CO | 0995242-NP |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
