Individual
LISA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
3113 HIGHGATE DR, FORT MILL, SC 29715-7304
(704) 900-9849
(704) 947-9076
Mailing address
2764 PLEASANT RD # 10748, FORT MILL, SC 29708-7213
(704) 900-9849
(704) 947-9076
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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