Individual
MS. LORENA DIANE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
280 EXEMPLA CIR, MINOR PROCEDURE CENTER, LAFAYETTE, CO 80026-3370
(720) 536-7056
Mailing address
1703 WHITEHALL DR, UNIT 7C, LONGMONT, CO 80501-9538
(970) 260-4547
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
105267
CO
163WR0006X
Registered Nurse First Assistant
105267
CO
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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