Individual
ELIZABETH MAUZY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
221 ALLEN ST, OWENSBORO, KY 42303-4139
(270) 685-4966
(270) 686-8058
Mailing address
221 ALLEN ST, OWENSBORO, KY 42303-4139
(270) 685-4966
(270) 686-8058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1884DT
KY
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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