Most Relevant Information
Provider Data
| NPI Number: | 1003817131 |
| Provider Name: | LISA MANUELA MARTINEZ M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | D0054704 |
Most Important Dates
| Enumeration Date: | 08/10/2005 |
| Last Updated: | 02/05/2008 |
Provider Practice Location
22 S GREENE ST
BALTIMORE
MD
212011544
Practice Location Phone/Fax
| Phone: | 4103289595 |
| Fax: |
Provider Mailing Location
110 S PACA ST
SIXTH FLOOR, SUITE 200
BALTIMORE
MD
212011642
Provider Mailing Phone/Fax
| Phone: | 4103288025 |
| Fax: | 4103288028 |
Suggested EMR
Internist EMR