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Individual

LACY N MARTINHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 PHILLIPS DR, GLADEWATER, TX 75647-4830
(817) 614-5200
Mailing address
300 PHILLIPS DR, GLADEWATER, TX 75647-4830
(817) 614-5200

Taxonomy

Speciality
Code
Description
License number
State
2278P3900X
Neonatal/Pediatric Certified Respiratory Therapist
Primary
RCP00074349
TX

Other

Enumeration date
12/01/2020
Last updated
12/01/2020
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