Provider Demographics
NPI:1932218641
Name:MARTINEZ, ALECIA SUSAN (MD)
Entity type:Individual
Prefix:DR
First Name:ALECIA
Middle Name:SUSAN
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALECIA
Other - Middle Name:SUSAN
Other - Last Name:LOVEGROVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1101 S 70TH ST STE 203
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4293
Mailing Address - Country:US
Mailing Address - Phone:402-937-1101
Mailing Address - Fax:402-937-1151
Practice Address - Street 1:1101 S 70TH ST STE 203
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4293
Practice Address - Country:US
Practice Address - Phone:402-937-1101
Practice Address - Fax:402-937-1151
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO390200000X207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology