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Organization
MILLSBORO FAMILY PRACTICE, P.A.
Active
Organization
MILLSBORO FAMILY PRACTICE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ANN MARTIN D.O. (PHYSICIAN/OWNER)
(302) 934-7344
Entity
Organization
Contact information
Practice address
201 LAUREL RD, MILLSBORO, DE 19966-1732
(302) 934-7344
(302) 934-7345
Mailing address
201 LAUREL RD, MILLSBORO, DE 19966-1732
(302) 934-7344
(302) 934-7345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C20005747
DE
Other
Enumeration date
05/31/2005
Last updated
08/22/2020
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