| Doctor Name: | LISA M MARTIN |
| NPI Number: | 1487632329 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AUD CCCASLP |
| License Number: | 1899154 |
| Business Practice Address: | 3200 Shore Dr Marinette, WI - 541434292 |
| Business Phone Number: | 7157353187 |
| Business Fax Number: | 7157355848 |
| Mailing Address: | 3200 Shore Dr, MARINETTE |
| State: | WI |
| Postal Code: | 541434292 |
| Phone Number: | 7157353187 |
| Fax Number: | 7157355848 |
| NPI Enumeration Date: | 12/31/2005 |
| NPI Last Update Date: | 01/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 1899154 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |