Individual
LEWANDA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
143 FOREST SERVICE ROAD 233, NEW WAVERLY, TX 77358-3945
(936) 344-7819
(936) 344-7267
Mailing address
143 FOREST SERVICE ROAD 233, NEW WAVERLY, TX 77358-3945
(936) 344-7819
(936) 344-7267
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
166117
TX
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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