Provider Information for 1336489012
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LAWANDA MARTIN LPC
Sex: Female
NPI: 1336489012
Last Updated: 2022-10-09
Certification Date: 2022-10-09
Certification Date: 2022-10-09
Details
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| NPI | 1336489012 | ||||||||||||||||||||||||||||||||||||
| Enumeration Date | 2013-02-18 | ||||||||||||||||||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||||||||||||||
| Mailing Address | 401 E SONTERRA BLVD STE 375 SAN ANTONIO, TX 78258-4321 United States Phone: 757-867-5811 | Fax:757-384-1581 | ||||||||||||||||||||||||||||||||||||
| Primary Practice Address | 401 E SONTERRA BLVD STE 375 SAN ANTONIO, TX 78258-4321 United States Phone: 757-867-5811 | Fax:757-384-1581 | ||||||||||||||||||||||||||||||||||||
| Secondary Practice Address(es) | 2700 TAYLOR HILL DRIVE 2700 TAYLOR HILL DRIVE | ||||||||||||||||||||||||||||||||||||
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