Individual
MR. LUIS BENIGNO MARTINEZ III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1850 N HIGHWAY 190, COVINGTON, LA 70433-5157
(985) 809-1515
Mailing address
1850 N HIGHWAY 190, COVINGTON, LA 70433-5157
(985) 607-4357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226932
LA
363LF0000X
Family Nurse Practitioner
280972
AZ
Other
Enumeration date
09/16/2022
Last updated
12/15/2022
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