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NPI 1134043755

NPI 1134043755 : LAMARTINA MED : MANDEVILLE, LA

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General NPI Number Information
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    NPI Number           |    1134043755
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAMARTINA MED 
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Dates
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    Enumeration Date     |    08/06/2026
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    Last Update Date     |    08/06/2026
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Provider Practice Location Address
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    Address Line         |    220 GIROD ST 
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    City                 |    MANDEVILLE
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    State                |    LA
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    Zip                  |    70448-5811
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    Country              |    US
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    Telephone            |    985-317-9563
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    220 GIROD ST 
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    City                 |    MANDEVILLE
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    State                |    LA
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    Zip                  |    70448-5811
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    Country              |    US
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    Telephone            |    985-317-9563
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MD
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    Name                 |     JOHN  LAMARTINA 
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    Credential           |    MD
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    Telephone            |    985-317-9563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2083A0300X
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    Taxonomy Name        |    Addiction Medicine (Preventive Medicine) Physician
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    License Number       |    
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    License Number State |    
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