Individual
MS. CORA JOANNE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5436
(580) 248-9128
Mailing address
5507 NW EISENHOWER DR, LAWTON, OK 73505-5826
(253) 740-7854
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0061114
OK
Other
Enumeration date
09/30/2013
Last updated
05/20/2014
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