Provider Demographics
NPI:1871509844
Name:MARTONE, LISA T (APRN,BC, CPRP)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:T
Last Name:MARTONE
Suffix:
Gender:F
Credentials:APRN,BC, CPRP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:801 SAINT MICHAEL PL
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-5569
Mailing Address - Country:US
Mailing Address - Phone:501-224-6721
Mailing Address - Fax:
Practice Address - Street 1:2200 FORT ROOTS DR
Practice Address - Street 2:BUILDING 170, UNIT 1K, ROOM 157
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-1709
Practice Address - Country:US
Practice Address - Phone:501-257-3142
Practice Address - Fax:501-257-3182
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARS01008364SP0811X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0811XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Chronically Ill