Individual
LISE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
925 N 130TH ST, SEATTLE, WA 98133-7502
(206) 485-4364
(877) 540-0569
Mailing address
925 N 130TH ST, SEATTLE, WA 98133-7502
(206) 485-4363
(877) 540-0569
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
AP60321470
WA
261QH0100X
Health Service Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
AP60321470
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841536729
NPI
—
05
—
2024196
—
WA
Enumeration date
12/20/2012
Last updated
10/20/2020
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