Individual
MS. LISA O JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D./L.D.
Contact information
Practice address
1601 S STATE ST, STE 500, EDMOND, OK 73013-3698
(405) 509-1294
(405) 562-8735
Mailing address
1601 S STATE ST, SUITE 500, EDMOND, OK 73013-3626
(405) 241-5836
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1559
OK
Other
Enumeration date
11/04/2008
Last updated
03/23/2017
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