# MILLSBORO FAMILY PRACTICE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578566907
- **Authorized official:** DR. LISA ANN MARTIN D.O. (PHYSICIAN/OWNER)
- **Authorized official phone:** (302) 934-7344

## Contact information

- **Practice address:** 201 LAUREL RD, MILLSBORO, DE 19966-1732
- **Practice address phone:** (302) 934-7344
- **Practice address fax:** (302) 934-7345
- **Mailing address:** 201 LAUREL RD, MILLSBORO, DE 19966-1732
- **Mailing address phone:** (302) 934-7344
- **Mailing address fax:** (302) 934-7345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C20005747 | DE | Yes |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 08/22/2020