Individual
DR. LYNN MARIE DIMARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
100 NORTH AVE, BATTLE CREEK, MI 49017-3417
(269) 962-7595
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002999
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0326890001
ADMINISTAR PIN#
MI
01
—
0A31152
BLUE CROSS BLUE SHIELD #
MI
Enumeration date
10/17/2006
Last updated
05/31/2024
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