Individual
LISA LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1542 S BLOOMINGTON ST, SUITE 1300, GREENCASTLE, IN 46135-2212
(765) 658-2700
(765) 658-2703
Mailing address
1542 S BLOOMINGTON ST, SUITE 1300, GREENCASTLE, IN 46135-2212
(765) 658-2700
(765) 658-2703
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
01056225A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200380830
—
IN
01
—
3422489001
CIGNA INS.
IN
Enumeration date
05/05/2006
Last updated
03/31/2021
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