Most Relevant Information
Provider Data
| NPI Number: | 1003499880 |
| Provider Name: | LORI ANN MARTIN CNM |
| Entity Type: | Individual |
| Taxonomy Code: | 176B00000X |
| Specialty: | Midwife |
| License Number: | 09000372A |
Most Important Dates
| Enumeration Date: | 04/30/2021 |
| Last Updated: | 04/30/2021 |
Provider Practice Location
1929 W LINCOLN AVE
GOSHEN
IN
465265909
Practice Location Phone/Fax
| Phone: | 5748494646 |
| Fax: |
Provider Mailing Location
64444A STATE ROAD 19
GOSHEN
IN
465269421
Provider Mailing Phone/Fax
| Phone: | 5748494646 |
| Fax: |