Individual
MS. LAURIE MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
100 FODEN RD E, STE 203, SOUTH PORTLAND, ME 04106-2327
(207) 874-1489
(207) 523-8590
Mailing address
100 GANNETT DRIVE, STE C, SOUTH PORTLAND, ME 04106
(207) 347-2947
(207) 874-2317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA52
ME
Other
Enumeration date
03/15/2006
Last updated
03/18/2026
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