| Miss Lori Louise Martin, PAC | |
|
576 Jefferson Ave, Primary Care Clinic Rm 330, Fort Eustis, VA 23604-1602 | |
| (757) 314-7613 | |
| Not Available |
| Full Name | Miss Lori Louise Martin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 576 Jefferson Ave, Fort Eustis, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538159298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA15787 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Lori Louise Martin, PAC 797 S Fair Oaks Ave, Pasadena, CA 91105-2617 Ph: (310) 621-6439 | Miss Lori Louise Martin, PAC 576 Jefferson Ave, Primary Care Clinic Rm 330, Fort Eustis, VA 23604-1602 Ph: (757) 314-7613 |
Mr. Reed Maurice Jordan, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 127 Jefferson Ave, Mcdonald Army Health Center, Fort Eustis, VA 23604 Phone: 757-314-7500 | |
Mrs. Gail A. Evans, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 210 Dillon Circle, Dcg-imt Coe, Fort Eustis, VA 23604 Phone: 912-429-7762 | |
Mr. Herbert Wayne Smiley, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7602 | |
Mr. Nathaniel L Hill, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 576 Jefferson Ave, Mcdonald Army Hospital, Fort Eustis, VA 23604 Phone: 757-878-1688 | |
Benjamin Steven Ingerson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7500 Fax: 757-314-7953 | |
Mr. Clifton Trinidad, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Mcdonald Army Health Center, Fort Eustis, VA 23604 Phone: 757-314-7522 | |
Eva Fremaint, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7500 |