Provider Demographics
NPI:1346699188
Name:MARTINDALE, LAWANDA LYNN (APRN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:LAWANDA
Middle Name:LYNN
Last Name:MARTINDALE
Suffix:
Gender:F
Credentials:APRN, NP-C
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Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:1 EMBARCADERO CTR STE 1900
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-3723
Mailing Address - Country:US
Mailing Address - Phone:617-454-4672
Mailing Address - Fax:
Practice Address - Street 1:3527 MEMORIAL DR UNIT W
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-2731
Practice Address - Country:US
Practice Address - Phone:404-573-4844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-10
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0003334-C-NP363LF0000X
AZ267260363LF0000X
TX1100055363LF0000X
WAAP61400717363LF0000X
GARN210716363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily