Provider Demographics
NPI:1083827869
Name:MARTINEZ, LONTARIO LEE
Entity Type:Individual
Prefix:MR
First Name:LONTARIO
Middle Name:LEE
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5335 PECOS WAY
Mailing Address - Street 2:UNIT 8
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-6444
Mailing Address - Country:US
Mailing Address - Phone:303-618-1731
Mailing Address - Fax:
Practice Address - Street 1:5335 PECOS WAY
Practice Address - Street 2:UNIT 8
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-6444
Practice Address - Country:US
Practice Address - Phone:303-618-1731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health