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Individual

DR. LISA ANN MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
200 HYGEIA DR, NEWARK, DE 19713-2049
(302) 273-1701
(302) 273-4497
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
C2-0005747
DE
207Q00000X
Family Medicine Physician
H0058234
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020607715
BDBSDE
DE
01
080189947
RRB PALMETTO
DE
01
15039
MIDATLANTIC
DE
01
1822385
UNITED
DE
01
187037
COVENTRY
DE
01
2208964001
AMERIHEALTH
DE
01
2273904
AETNA
DE
01
23227
JOHNS HOPKINS
DE
01
6697853
CIGNA
DE
01
890562
MAMSI
DE
01
INFORMED
020607715
DE
01
S4540001
DELMARVA HEALTH
DE
Enumeration date
06/01/2005
Last updated
02/24/2025
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