Individual provider · Type 1 NPI
Lauren M. Martin
Family Nurse Practitioner · Maywood, IL
NPI number
1053812396
Active
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 041366145 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209017315 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053812396
Lauren M. Martin's National Provider Identifier is 1053812396, issued on Feb 22, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maywood, IL. The record was last updated on Apr 20, 2021.