Individual
LISA J. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2505 COLLEGE AVE, CONWAY, AR 72034
(501) 327-6000
(501) 450-7559
Mailing address
2505 COLLEGE AVE, CONWAY, AR 72034
(501) 327-6000
(501) 450-7559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A01660
AR
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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