Martinez, Lakeisha

Martinez, Lakeisha is an individual health care provider with primary practice located at 1227 N Railroad Ave Ste C , Espanola NM 87532-3159. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Martinez, Lakeisha can be contacted via phone (505) 747-8187.

Contact Information

Primary practice address
1227 N Railroad Ave Ste C Espanola NM 87532-3159
Phone: (505) 747-8187
Fax: (505) 747-8306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X PT00010014 New Mexico

Profile Details

NPI number 1619471638
LBN Legal business name Martinez, Lakeisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2018
Last updated Mar 23rd, 2018 - about 8 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 1619471638 NPPES
New Mexico MEDICAID 1265683049

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