Individual
LISA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15091 18TH ST NE, LITTLE FALLS, MN 56345-4579
(320) 632-3644
Mailing address
15091 18TH ST NE, LITTLE FALLS, MN 56345-4579
(320) 632-3644
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114696
MN
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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