Individual
MS. ELIZABETH LYNETTE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
216 PARK STREET, KROTZ SPRINGS, LA 70750
(337) 566-2762
(337) 566-2766
Mailing address
PO BOX 765, KROTZ SPRINGS, LA 70750-0765
(337) 566-2762
(337) 566-2766
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN078570-AP06088
LA
363LF0000X
Family Nurse Practitioner
Primary
AP06088
LA
Other
Enumeration date
10/06/2010
Last updated
05/27/2022
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