Martin, Lisa W

Martin, Lisa W is an individual health care provider with primary practice located at 2893 Sturgis Rd , Rock Hill SC 29730-6607. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Martin, Lisa W can be contacted via phone (803) 366-9090.

Contact Information

Primary practice address
2893 Sturgis Rd Rock Hill SC 29730-6607
Phone: (803) 366-9090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 651262 Illinois

Profile Details

NPI number 1336165869
LBN Legal business name Martin, Lisa W
Credentials RD/ CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jul 8th, 2007 - about 17 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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