Individual
MRS. LISA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 JOHNSON ST, LYNN, MA 01902-4001
(781) 593-2727
(781) 593-2524
Mailing address
108 WOODLAWN ST, LYNN, MA 01904-2865
(781) 593-2727
(781) 593-2542
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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