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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS LURETTA L MARTIN, MSHAE

Active Sole Proprietor

MISS LURETTA L MARTIN, MSHAE is a Licensed Practical Nurse healthcare provider located in CRYSTAL SPRINGS, Mississippi. NPI 1366185787 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · CRYSTAL SPRINGS, MS

Registration Details

NPI Number
1366185787
Provider Type
Individual
Gender
Female
NPI Issued
Apr 14, 2022 (4.3584110161779 yrs)
Last Updated
Apr 14, 2022
License
296056 (MS)
Sole Proprietor
Yes

Practice Information

Address
9013 TANK RD
CRYSTAL SPRINGS, MS, 390599628
Browse MS providers · Browse ZIP 39059
Phone
6015034657
Primary Specialty
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.