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General NPI Number Information
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NPI Number | 1255788535
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Entity Type | Individual
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Provider Name | LILA M MARTIN MD,MPH
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Gender | Female
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 96 CAMPUS DR STE 1
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7164
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Country | US
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Telephone | 78-859-9005
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Fax | 207-396-5600
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Provider Business Mailing Address
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Address Line | 96 CAMPUS DR STE 1
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7164
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Country | US
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Telephone | 78-859-9005
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Fax | 207-396-5600
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | MD25742
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 24466
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 266942
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License Number State | MA
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