Individual
LISA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 E FRANK PHILLIPS BLVD STE 703, BARTLESVILLE, OK 74006-2443
(918) 940-8500
(918) 940-8399
Mailing address
11838 E 166TH ST N, COLLINSVILLE, OK 74021-4537
(918) 808-1096
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
116093
OK
Other
Enumeration date
02/13/2020
Last updated
07/17/2025
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