Individual
LYDIA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
3850 S NATIONAL AVE, SPRINGFIELD, MO 65807-5287
(417) 335-7111
Mailing address
5307 N 11TH AVE, OZARK, MO 65721-5748
(402) 321-8498
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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