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Individual
LAUREN E MARTIN
Active
Individual
LAUREN E MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12350
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12666069
CAQH
—
01
—
8EC958
BLUECROSS BLUESHIELD
TX
Enumeration date
08/20/2013
Last updated
07/01/2014
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