Individual
LYNNE NICOLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A158418
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A158418
CA
Other
Enumeration date
04/14/2017
Last updated
04/08/2024
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