Individual
LISA D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1081 SHAYLER RD, APT. #10, BATAVIA, OH 45103-2316
(513) 693-2792
Mailing address
1081 SHAYLER RD, APT. #10, BATAVIA, OH 45103-2316
(513) 693-2792
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401436550912
OH
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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