Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitchell Lee Martin, PA

Individual provider Physician Assistant · NPI 1679649792

Mitchell Lee Martin, PA is a Physician Assistant in Lafayette, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

439 Heymann Blvd
Lafayette, LA 70503-2616
Phone: (337) 269-0963
Fax: (337) 269-0553
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence A10592 (LA)

Record details

NPI number1679649792
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESMay 3, 2021
Certification dateMay 3, 2021

Other providers in Lafayette