NPI Code Detail JSON Logo

1427050665 NPI number — LISA ANN MARTIN D.O.

NPI Number: 1427050665
Health Care Provider/Practitioner: LISA ANN MARTIN D.O.

Information about “1427050665” NPI (LISA ANN MARTIN D.O.) exists in 1427050665 in HTML format HTML  |  1427050665 in plain Text format TXT  |  1427050665 in PDF (Portable Document Format) PDF  |  1427050665 in an XML format XML  formats.

NPI Number : 1427050665 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427050665",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTIN",
    "FirstName": "LISA",
    "MiddleName": "ANN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LENNON",
    "OtherFirstName": "LISA",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "201 LAUREL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILLSBORO",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19966-1732",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-934-7344",
    "MailingAddressFaxNumber": "302-934-7345",
    "FirstLinePracticeLocationAddress": "200 HYGEIA DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEWARK",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19713-2049",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-273-1701",
    "PracticeLocationAddressFaxNumber": "302-273-4497",
    "EnumerationDate": "06/01/2005",
    "LastUpdateDate": "02/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "H0058234",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "C2-0005747",
          "LicenseNumberStateCode": "DE",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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