Female

Mrs. Lyvetta W. Marshall SPECIALIST

Orthotic Fitter in Martinez, GA(View on Map)

Full Name

Mrs. Lyvetta Walker Marshall SPECIALIST

NPI Number

1376869263

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/16/2010

Specialties

(Taxonomies)

Code

225000000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

CO072859

Contact
Information

Purpose

Mailing
Location

Address

3781 FREEMAN DR
187 HIGHTOWER DR

City

Martinez
Martinez

State

GA
GA

Postal Code

30907-9578
30907-8405

Country

US
US

Telephone Number

(706) 495-6166
(706) 823-9973

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/16/2010

Provider Address