Individual
LISA MARIE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3365 HIGH POINT BLVD, BETHLEHEM, PA 18017-7806
(610) 954-5433
Mailing address
3365 HIGH POINT BLVD, BETHLEHEM, PA 18017-7806
(610) 954-5433
(610) 691-1095
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP007587
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043659592
—
PA
Enumeration date
06/18/2013
Last updated
09/09/2019
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