Martin, Lise

Martin, Lise is an sole proprietor health care provider with primary practice located at 925 N 130Th St , Seattle WA 98133-7502. She recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Lactation Consultant. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Martin, Lise can be contacted via phone (206) 485-4364.

Contact Information

Primary practice address
925 N 130Th St Seattle WA 98133-7502
Phone: (206) 485-4364
Fax: (877) 540-0569
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60321470 Washington
Nursing Service Providers / Lactation Consultant 163WL0100X AP60321470 Washington

Profile Details

NPI number 1841536729
LBN Legal business name Martin, Lise
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2012
Last updated Oct 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841536729 NPPES
Other 1841536729 NPI
MEDICAID 2024196 NPI

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