Individual
TRISTA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2799 STATE HIGHWAY 155, LONE STAR, TX 75668-5231
(903) 755-4180
Mailing address
2799 STATE HIGHWAY 155, LONE STAR, TX 75668-5231
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-311970
TX
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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