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Individual
LISA M JOHNSON
Active
Individual
LISA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.N., NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP9644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN4927680
—
CA
05
—
RN4927681
—
CA
Enumeration date
07/06/2005
Last updated
06/09/2014
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