Individual
MRS. LISA ABBY GAIL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, PMHNP-BC
Contact information
Practice address
701 S PARKER ST STE 2800, ORANGE, CA 92868-4720
(925) 282-1778
Mailing address
701 S PARKER ST STE 2800, ORANGE, CA 92868-4720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
20328
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20328
CA
Other
Enumeration date
12/09/2010
Last updated
10/16/2024
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