Lolita Martin, is a
Licensed Practical Nurse based in Riverdale, Illinois. Lolita Martin is licensed to practice in Illinois (license number 043068995) and her current practice location is
14235 S Wallace Ave, Riverdale, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 439-9981.
NPI number for Lolita Martin is 1326582636 and her current mailing address is 14235 S Wallace Ave, Riverdale, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326582636.
Provider's Profile
Full Name | Lolita Martin |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 14235 S Wallace Ave, Riverdale, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326582636
- Provider Enumeration Date: 12/06/2016
- Last Update Date: 12/06/2016
Medical Identifiers
Medical identifiers for Lolita Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326582636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043068995 (Illinois) | 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. Lolita 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 |
Lolita Martin, 14235 S Wallace Ave, Riverdale, IL 60827-2324 Ph: (708) 439-9981 | Lolita Martin, 14235 S Wallace Ave, Riverdale, IL 60827-2324 Ph: (708) 439-9981 |
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