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Individual
SCOTT LANIER MARTIN
Active
Individual
SCOTT LANIER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
02003798A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036124986
IL
Other
Enumeration date
11/23/2009
Last updated
01/23/2012
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