Individual
ALLEN LIONEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP, RN
Contact information
Practice address
15 MID COAST DR, BELFAST, ME 04915-6079
(207) 338-2295
(207) 338-2388
Mailing address
300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 04106-6914
(207) 661-2018
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN41793
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP81743
ME
Other
Enumeration date
09/29/2006
Last updated
01/27/2017
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