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Individual

LISA ANN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
7777 FOREST LN, SUITE C339, DALLAS, TX 75230-2571
(972) 566-8855
(972) 566-7509
Mailing address
7777 FOREST LN, SUITE C339, DALLAS, TX 75230-2571
(972) 566-8855
(972) 566-7509

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
597029
TX

Other

Enumeration date
11/30/2012
Last updated
11/30/2012
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