Individual
LAZARO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 HATCH DR, CARIBOU, ME 04736-2161
(207) 493-3361
(207) 492-4889
Mailing address
PO BOX 1018, CARIBOU, ME 04736-1018
(207) 498-6431
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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