Individual
ALLISON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 855-8185
Mailing address
424 SEDONA DR, LAKE HAVASU CITY, AZ 86403-4775
(928) 486-9188
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
246911
AZ
Other
Enumeration date
11/22/2020
Last updated
11/22/2020
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