Individual
LAINIE P MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104
(215) 615-0063
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 615-0063
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD422256
PA
207RX0202X
Medical Oncology Physician
Primary
MD422256
PA
Other
Enumeration date
07/07/2006
Last updated
05/29/2018
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