Individual
DR. LARISA G MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13030 MILITARY RD S, STE 210, TUKWILA, WA 98168-3085
(206) 242-6500
(206) 246-7946
Mailing address
13030 MILITARY RD S, STE 210, TUKWILA, WA 98168-3085
(206) 242-6500
(206) 246-7946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116018093
VA
Other
Enumeration date
06/21/2007
Last updated
09/23/2013
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