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NPI Code Detail

MEDICARE: DANA LYNN MARTINI DO

MEDICARE: DANA LYNN MARTINI DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician95366SC
2208100000XPhysical Medicine & Rehabilitation PhysicianOS012401PA
3208100000XPhysical Medicine & Rehabilitation Physician2012-01403NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518952886
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA LYNN MARTINI DO
Provider Business Mailing Address
First Line : PO BOX 601372
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-1372
Country : US
Telephone Number : 704-355-9047
Fax Number : 704-355-9458
Provider Business Practice Location Address
First Line : 1100 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203
Country : US
Telephone Number : 704-355-9047
Fax Number : 704-355-9458
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 06/08/2026

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Directions to “ DANA LYNN MARTINI DO” Practice Location

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