Individual
LAURA LEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNLP
Contact information
Practice address
3177 VIA BUENA VIS UNIT B, LAGUNA WOODS, CA 92637-3087
(714) 395-6625
Mailing address
511 E SAN YSIDRO BLVD # C-545, SAN YSIDRO, CA 92173-3150
(714) 395-6625
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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