Individual
LANORA DELORES MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5410 N 44TH ST, TACOMA, WA 98407-3715
(253) 759-9544
(253) 759-0138
Mailing address
5410 N 44TH ST, TACOMA, WA 98407-3715
(253) 759-9544
(253) 759-0138
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
CG61065415
WA
Other
Enumeration date
04/15/2020
Last updated
12/05/2022
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