Individual
MS. LISA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 NOSTRAND AVE, 2ND FLOOR, BROOKLYN, NY 11210-3045
(718) 859-9760
(718) 859-9767
Mailing address
50 VAN BUREN STREET, APT 1, BROOKLYN, NY 11221
(718) 859-9760
(718) 859-9767
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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