Individual
MRS. LISA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1903 DOWNING ST, GREENSBORO, NC 27410-2411
(336) 286-8586
Mailing address
1903 DOWNING ST, GREENSBORO, NC 27410-2411
(336) 286-8586
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003359
NC
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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