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

MISS LORI LOUISE MARTIN, PAC

Active Sole Proprietor

MISS LORI LOUISE MARTIN, PAC is a Medical Physician Assistant healthcare provider located in FORT EUSTIS, Virginia. NPI 1538159298 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · FORT EUSTIS, VA

Registration Details

NPI Number
1538159298
Provider Type
Individual
Gender
Female
NPI Issued
Oct 25, 2005 (20.771741490888 yrs)
Last Updated
May 29, 2014
License
PA15787 (CA)
Sole Proprietor
Yes

Practice Information

Address
576 JEFFERSON AVE
PRIMARY CARE CLINIC RM 330
FORT EUSTIS, VA, 236041602
Browse VA providers · Browse ZIP 23604
Phone
7573147613
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in FORT EUSTIS, VA

Name Credential NPI
MRS. GAIL A. EVANS PHYSICIAN ASSISTANT 1093714586
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.