Provider Demographics
NPI:1740286269
Name:MARTINELLI, LAWRENCE P (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:P
Last Name:MARTINELLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2215 NASHVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1105
Mailing Address - Country:US
Mailing Address - Phone:806-725-5844
Mailing Address - Fax:806-723-6532
Practice Address - Street 1:4102 24TH ST STE 403
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1804
Practice Address - Country:US
Practice Address - Phone:806-725-7150
Practice Address - Fax:806-723-6136
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2019-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ3849207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM000U5838Medicaid
TX8CZ627OtherBLUE CROSS BLUE SHIELD