Individual
LISA BETH WURNIG-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
815 1ST AVE SE, ABERDEEN, SD 57401-4602
(605) 622-5123
(605) 622-5906
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 622-2876
(605) 622-2804
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0480
SD
Other
Enumeration date
10/12/2006
Last updated
08/03/2016
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