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Individual

DR. LYNORE MARGARET MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
405 KIVA CT, SANTA FE, NM 87505-5879
(505) 988-4922
(505) 988-4924
Mailing address
405 KIVA CT, SANTA FE, NM 87505-5879
(505) 988-4922
(505) 988-4924

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
95294
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00068674
NM
01
58375
PRESBYTERIAN
NM
01
NM009T01
BLUE CROSS
NM
Enumeration date
02/16/2006
Last updated
12/28/2011
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