Individual
MS. LISA MICHELLE JOHNSON- BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
111 E 210TH ST FL 2ND, BRONX, NY 10467-2401
(718) 920-5333
Mailing address
125 DOUGLAS PL, MOUNT VERNON, NY 10552-1146
(914) 699-0969
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302996-1
NY
Other
Enumeration date
03/29/2007
Last updated
11/10/2020
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