Individual
LAUREN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4505 HOSPITAL ST STE A, PASCAGOULA, MS 39581-5302
(228) 762-1525
(228) 769-2635
Mailing address
4505 HOSPITAL ST STE A, PASCAGOULA, MS 39581-5302
(228) 762-1525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1024
MS
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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