LORI LOUISE MARTIN

FORT EUSTIS, VA
NPI1538159298
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  pa15787)
Enumeration Date2005-10-25
Last Update Date2014-05-29
Business Address
Miss LORI LOUISE MARTIN PAC
576 JEFFERSON AVE PRIMARY CARE CLINIC RM 330
FORT EUSTIS, VA 23604-1602
Phone number: 757-314-7613
Mailing Address
Miss LORI LOUISE MARTIN PAC
797 S FAIR OAKS AVE
PASADENA, CA 91105-2617
Phone number: 310-621-6439
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