Most Relevant Information
Provider Data
| NPI Number: | 1003538851 |
| Provider Name: | LUIS BENIGNO MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 226932 |
Most Important Dates
| Enumeration Date: | 09/16/2022 |
| Last Updated: | 12/15/2022 |
Provider Practice Location
1850 N HIGHWAY 190
COVINGTON
LA
704335157
Practice Location Phone/Fax
| Phone: | 9858091515 |
| Fax: |
Provider Mailing Location
1850 N HIGHWAY 190
COVINGTON
LA
704335157
Provider Mailing Phone/Fax
| Phone: | 9856074357 |
| Fax: |