Organization
LANCASTER FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN NICHOLAS MARTIN M.D. (OWNER)
(859) 792-3042
Entity
Organization
Contact information
Practice address
206 LEXINGTON ST, LANCASTER, KY 40444-1131
(859) 792-3042
(859) 792-6639
Mailing address
206 LEXINGTON ST, LANCASTER, KY 40444-1131
(859) 792-3042
(859) 792-6639
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17782
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0640
BCBS
KY
05
—
64177827
—
KY
01
—
65909137
KENPAC
KY
Enumeration date
07/24/2007
Last updated
11/09/2010
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