Martin, Lisa Wilson

Martin, Lisa Wilson is an individual health care provider with primary practice located at 11200 Galleria Avenue , Raleigh NC 27614. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Martin, Lisa Wilson can be contacted via phone (919) 570-1511.

Contact Information

Primary practice address
11200 Galleria Avenue Raleigh NC 27614
Phone: (919) 570-1511
Fax: (919) 570-7751
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X L002570 North Carolina
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X L002570 North Carolina

Profile Details

NPI number 1952517955
LBN Legal business name Martin, Lisa Wilson
Credentials RD, MS, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 15th, 2015 - about 9 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.

Request for update

Popular Providers