Individual
DR. LISA ANNE JOHNSON-DIMARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
700 WARREN RD APT 18-1E, ITHACA, NY 14850-1224
(516) 471-0960
Mailing address
700 WARREN RD APT 18-1E, ITHACA, NY 14850-1224
(516) 471-0960
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006477
NY
Other
Enumeration date
02/06/2021
Last updated
02/06/2021
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