Individual
LISA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21351 RIDGETOP CIR, STE 100, STERLING, VA 20166-6561
(571) 434-0140
(703) 280-5098
Mailing address
3015 WILLIAMS DR, STE 200, FAIRFAX, VA 22031-4623
(703) 641-9133
(703) 280-5098
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101-057627
VA
Other
Enumeration date
05/12/2006
Last updated
06/23/2009
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