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Individual

MRS. LISA KAY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
106 4TH AVE N, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
106 4TH AVE N, FERGUS FALLS, MN 56537-1034

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L-38935-2
MN

Other

Enumeration date
07/02/2009
Last updated
07/02/2009
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