Provider Demographics
NPI:1467887281
Name:MARTIN, EULONDA SEARCY (RN, LMT)
Entity Type:Individual
Prefix:
First Name:EULONDA
Middle Name:SEARCY
Last Name:MARTIN
Suffix:
Gender:F
Credentials:RN, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2007 MACARTHUR DR
Mailing Address - Street 2:BLDG 7 SUITE 1
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-3767
Mailing Address - Country:US
Mailing Address - Phone:318-308-8761
Mailing Address - Fax:
Practice Address - Street 1:2007 MACARTHUR DR
Practice Address - Street 2:SUITE 1
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3767
Practice Address - Country:US
Practice Address - Phone:318-308-8761
Practice Address - Fax:318-448-8157
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN070286163WC0400X
LARN070286 LMT7322163WM1400X, 163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)Group - Single Specialty
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WP0000XNursing Service ProvidersRegistered NursePain ManagementGroup - Single Specialty