Laura Lee Martin, FNLP

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

3177 Via Buena Vis Unit B
Laguna Woods, CA 92637-3087

Phone

(714) 395-6625

NPI assigned

Sep 7, 2021

Last updated

Sep 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1861161556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E SAN YSIDRO BLVD # C-545",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921733150",
            "telephone_number": "714-395-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3177 VIA BUENA VIS UNIT B",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373087",
            "telephone_number": "714-395-6625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Col Villa Serena. Avenida Villa Serena",
            "address_2": "210",
            "address_purpose": "LOCATION",
            "city": "Cabo San Lucas",
            "state": "Baja Californa Sur",
            "postal_code": "23450",
            "country_code": "MX",
            "telephone_number": "624-182-5810",
            "country_name": "Mexico",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "credential": "FNLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutrition Education Nutritionist in Laguna Woods, CA
• Providers in Laguna Woods, CA by specialty
• Nutrition Education Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.