Miss. Lori Louise Martin, PAC
Miss. Lori Louise Martin, PAC is a Physician Assistant in Fort Eustis, Virginia. Qualified in 2000, 26 years ago. Practices with California Wound Healing Medical Group Inc, a 19-clinician group. Licensed in California.
- Years since qualifying
- 26
- Licensed in
- CA
- In the registry since
- 2005
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
576 Jefferson Ave Primary Care Clinic Rm 330Fort Eustis, VA 23604-1602
Phone: (757) 314-7613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA15787 (CA) |
|---|
Record details
| NPI number | 1538159298 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PAC |
| Sole proprietor | Yes |
| NPI enumerated | October 25, 2005 |
| Last updated in NPPES | May 29, 2014 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | California Wound Healing Medical Group Inc. — 19 clinicians |
| Accepts Medicare assignment | Not indicated |
Other providers in Fort Eustis
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Mrs. Gail A. Evans, PHYSICIANASSISTANT
210 Dillon Circle Dcg-Imt Coe, Fort Eustis, VA 23604 · (912) 429-7762