Individual
LISA MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.-C
Contact information
Practice address
67 S BEDFORD ST STE 202E, BURLINGTON, MA 01803-5141
(781) 744-7000
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-8771
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
265369
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085125A
—
MA
Enumeration date
03/17/2010
Last updated
04/14/2021
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