Individual
LISA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, MPH
Contact information
Practice address
16549 AURORA AVE N, SHORELINE, WA 98133-5308
(206) 533-2660
(206) 962-3305
Mailing address
20027 BURKE AVE N, SHORELINE, WA 98133-3329
(206) 399-3197
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00002813
WA
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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