Individual
DR. LAWRENCE P MARTINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4102 24TH ST STE 403, LUBBOCK, TX 79410-1804
(806) 725-7150
(806) 723-6136
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
J3849
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000U5838
—
NM
01
—
8CZ627
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/21/2005
Last updated
04/12/2019
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