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General NPI Number Information
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NPI Number | 1912472564
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Entity Type | Individual
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Provider Name | LUCY ELIZABETH MARTIN
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Gender | Female
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Dates
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Enumeration Date | 10/10/2018
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 6031 E WOODMEN RD STE 330
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-2624
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Country | US
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Telephone | 719-638-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 290 W ALAMEDA AVE APT 343
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City | DENVER
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State | CO
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Zip | 80223-2182
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Country | US
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Telephone | 615-881-6138
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | C-APN.0003262-C-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 24978
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 225374
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License Number State | TN
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