Individual
MS. LOIS BEARD MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7110 WRIGHTSVILLE AVE, SUITE B9, WILMINGTON, NC 28403-7219
(910) 509-4116
(910) 509-7566
Mailing address
7110 WRIGHTSVILLE AVE, SUITE B9, WILMINGTON, NC 28403-7219
(910) 509-4116
(910) 509-7566
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9600064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0247R
BCBS
NC
05
—
8954150
—
NC
Enumeration date
12/12/2006
Last updated
04/29/2013
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