Individual
LISA C JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCO, BADO
Contact information
Practice address
7476 OLD FAIRGROUND RD, BENSON, NC 27504-6105
(919) 207-2515
(919) 894-1335
Mailing address
7476 OLD FAIRGROUND RD, BENSON, NC 27504-6105
(919) 207-2515
(919) 894-1335
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
06/16/2015
Last updated
09/15/2015
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