Martin, Lori Louise

Martin, Lori Louise is an sole proprietor health care provider with primary practice located at 576 Jefferson Ave Primary Care Clinic Rm 330, Fort Eustis VA 23604-1602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Martin, Lori Louise can be contacted via phone (757) 314-7613.

Contact Information

Primary practice address
576 Jefferson Ave Primary Care Clinic Rm 330 Fort Eustis VA 23604-1602
Phone: (757) 314-7613
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA15787 California

Profile Details

NPI number 1538159298
LBN Legal business name Martin, Lori Louise
Credentials PAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2005
Last updated May 29th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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