Individual
LISA LINN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
501 E HOLLY BLVD, BRANDON, SD 57005-1277
(605) 582-3446
Mailing address
501 E HOLLY BLVD, BRANDON, SD 57005-1277
(605) 582-3446
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101-LIM
SD
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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