Individual
DR. LISA MARIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1098 FREDERICK BLVD, PORTSMOUTH, VA 23707-4119
(757) 399-6150
(757) 399-6178
Mailing address
5101 STONEWALL CT, SUFFOLK, VA 23435-2690
(757) 615-5142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204178
VA
183500000X
Pharmacist
17385
MD
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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