Provider Demographics
NPI:1770720815
Name:MARTIN, FRANCES MARIAN (MD)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:MARIAN
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:225 CLEARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1815
Mailing Address - Country:US
Mailing Address - Phone:757-457-5100
Mailing Address - Fax:757-961-3696
Practice Address - Street 1:740 S LIMESTONE STE B200
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-1815
Practice Address - Country:US
Practice Address - Phone:859-257-3533
Practice Address - Fax:859-218-7693
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010125754208800000X
KY58917208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVVG068A180OtherMEDICARE NSC
FLK3569OtherGROUP LRHSI MEDICARE #
1497748743OtherGROUP LRHSI NPI # 1497748743
FLDA5786OtherLRHSI GROUP MCARE RR #