Individual
LAURA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 STONECREST RD STE 106, SHELBYVILLE, KY 40065-8126
(502) 647-1000
Mailing address
1792 ALYSHEBA WAY, SUITE 150, LEXINGTON, KY 40509-2288
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1613
KY
Other
Enumeration date
11/24/2010
Last updated
04/03/2020
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