Individual
LARA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-7538
(937) 723-3245
Mailing address
405 W GRAND AVE, DAYTON, OH 45405-7538
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A19542
CA
207P00000X
Emergency Medicine Physician
34.014062
OH
Other
Enumeration date
04/18/2018
Last updated
06/24/2022
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