Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD60904177 | WA |
N | 207VG0400X | Gynecologist | 19713 | HI |
N | 207VX0000X | Obstetrician | 19713 | HI |
NPI | 1184042889 |
---|---|
Provider Name | Lisa Martinez Franco |
First Address | Tacoma, WA 98405-4265 |
Second Address | Tacoma, WA 98405-4265 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2014 |
Last Update Date | 27/04/2021 |