Individual
LISA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
118 N MAIN ST, ISABEL, SD 57633
(605) 466-2120
Mailing address
PO BOX 101, ISABEL, SD 57633-0101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R034822
SD
363LF0000X
Family Nurse Practitioner
Primary
2022094904
SD
Other
Enumeration date
01/15/2015
Last updated
03/03/2023
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