Individual
DR. CAROLINE LUCILLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
400 SW LONGVIEW BLVD STE 280, LEES SUMMIT, MO 64081-2157
(816) 477-7200
Mailing address
400 SW LONGVIEW BLVD STE 280, LEES SUMMIT, MO 64081-2157
(816) 477-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-41119
KS
207Q00000X
Family Medicine Physician
2020027254
MO
Other
Enumeration date
05/01/2015
Last updated
02/03/2023
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