Martin, Lisa Jane

Martin, Lisa Jane is an individual health care provider with primary practice located at 3791 State Route 63 , Lebanon OH 45036-9371. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Martin, Lisa Jane can be contacted via phone (513) 932-1211.

Contact Information

Primary practice address
3791 State Route 63 Lebanon OH 45036-9371
Phone: (513) 932-1211
Fax: (513) 932-2666
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X KYARNP2789S Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X KYARNP2789S Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X RX11806 Ohio

Profile Details

NPI number 1184785115
LBN Legal business name Martin, Lisa Jane
Credentials CNS ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Nov 14th, 2012 - about 12 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 1184785115 NPPES
Kentucky MEDICAID 78003522

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