Provider Demographics
NPI:1730209990
Name:MARTIN, LIZABETH DANE (MD)
Entity type:Individual
Prefix:DR
First Name:LIZABETH
Middle Name:DANE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:W-9824
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3901
Mailing Address - Country:US
Mailing Address - Phone:206-987-3996
Mailing Address - Fax:206-987-3935
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:W-9824
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-3996
Practice Address - Fax:206-987-3935
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2011-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60149033207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology