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Individual
LISA MARIE JOHNSON
Active
Individual
LISA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LMW-0043
SC
Other
Enumeration date
12/28/2009
Last updated
05/15/2024
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