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NPI Code Detail

MEDICARE: LATORYA MARTIN

MEDICARE: LATORYA MARTIN
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1477212280
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATORYA MARTIN
Provider Business Mailing Address
First Line : 3581 LACKEY ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28360-9048
Country : US
Telephone Number : 910-738-5023
Fax Number :
Provider Business Practice Location Address
First Line : 3581 LACKEY ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28360-9048
Country : US
Telephone Number : 910-738-5023
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2021
Last Update Date : 01/22/2026

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Directions to “ LATORYA MARTIN ” Practice Location

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