Lori Martin, PAC

NPI 1538159298 · on the registry since 2005 · sole proprietor

Practice

Address: 576 Jefferson Ave
Primary Care Clinic Rm 330
Fort Eustis, VA 23604
Phone: (757) 314-7613
Organisation at this address: Ahc Mcdonald-Eustis
Mcdonald Army Health Care Center
Mcdonald Army Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 156

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia