Individual
MRS. LISA DAWN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5305 WINDSOR AVE, EDINA, MN 55436-2331
(612) 467-2996
Mailing address
5305 WINDSOR AVE, EDINA, MN 55436-2331
(612) 467-2996
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R1351224
MN
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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