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Individual

MRS. LISA S JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7959
Mailing address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7959

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G-094557
IA

Other

Enumeration date
08/18/2009
Last updated
08/18/2009
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