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LISELLE MARIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
701 HEWITT BLVD, RED WING, MN, MN 55066-2848
(507) 377-6285

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1577
MN
363LF0000X
Family Nurse Practitioner
CNP 1577
MN

Other

Enumeration date
12/19/2014
Last updated
02/02/2021
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