Individual
LUCIO J MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E STATE ST, ROCKFORD, IL 61104-1012
(815) 668-7810
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036083656
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036083656
—
IL
Enumeration date
02/27/2006
Last updated
06/16/2025
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