Martin, Lucy

Martin, Lucy is an individual health care provider with primary practice located at 3401 N Perryville Rd , Rockford IL 61114-8011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Martin, Lucy can be contacted via phone (815) 971-2000.

Contact Information

Primary practice address
3401 N Perryville Rd Rockford IL 61114-8011
Phone: (815) 971-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 041269108 Illinois

Profile Details

NPI number 1285606970
LBN Legal business name Martin, Lucy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Nov 24th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285606970 NPPES
Illinois Other L90720 MEDICARE PRIOR 7/15/2007

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