Lori Suzanne Martin, LADAC II, NCAC II is a
Counselor - Addiction (substance Use Disorder) based in Loudon, Tennessee. Lori Suzanne Martin is licensed to practice in Tennessee (license number LDC0000000672) and her current practice location is
810 Mulberry St, Loudon, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(865) 657-9303.
NPI number for Lori Suzanne Martin is 1679228720 and her current mailing address is 2405 Calderwood Hwy, Maryville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679228720.
Healthcare Provider's Profile
| Full Name | Lori Suzanne Martin |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 810 Mulberry St, Loudon, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679228720
- Provider Enumeration Date: 02/17/2022
- Last Update Date: 02/17/2022
Medical Identifiers
Medical identifiers for Lori Suzanne Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679228720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LDC0000000672 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lori Suzanne Martin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lori Suzanne Martin, LADAC II, NCAC II
2405 Calderwood Hwy,
Maryville, TN 37801-0823
Ph: (865) 776-4354 | Lori Suzanne Martin, LADAC II, NCAC II
810 Mulberry St,
Loudon, TN 37774-1309
Ph: (865) 657-9303 |
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