Individual
LISA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 S 7 HWY, BLUE SPRINGS, MO 64014-5301
(816) 220-2302
Mailing address
1701 SW CRYSTAL CREEK PL, BLUE SPRINGS, MO 64015-8879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016001668
MO
363LF0000X
Family Nurse Practitioner
53-77135
KS
Other
Enumeration date
02/23/2016
Last updated
07/19/2016
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