Individual
LISA DIANE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1265 S UTICA AVE STE 300, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Mailing address
9228 S MINGO RD STE 200, TULSA, OK 74133-5722
(918) 592-0999
(918) 592-1021
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
201309
OK
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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