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MS. LAURA LEE MARTIN FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1598304438

Individual Registrant:
MS. LAURA LEE MARTIN FNP
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

Contact information for business:
925 2ND AVE  MONTE VISTA, CO 81144-1432 US
Tel: 719-852-2512  Fax: --

Registration Information:
NPI: 1598304438
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CO0995242-NP

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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