MEDICARE: LORENZO MARTIN MD

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
1	207RP1001X	Pulmonary Disease Physician	D8336	TX

General Provider Information

NPI Number	:	1598742355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORENZO MARTIN MD

Provider Business Mailing Address
First Line	:	1406 MARTIN LUTHER KING DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78401-1700
Country	:	US
Telephone Number	:	361-887-8811
Fax Number	:	361-887-8874

Provider Business Practice Location Address
First Line	:	1406 MARTIN LUTHER KING DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78401-1700
Country	:	US
Telephone Number	:	361-887-8811
Fax Number	:	361-887-8874

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	05/01/2013

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