Individual
LORRIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1480 ESSEX DR, PORTER, IN 46304-9797
(219) 926-4540
Mailing address
1480 ESSEX DR, PORTER, IN 46304-9797
(219) 926-4540
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004439A
IN
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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