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Individual

DR. LISA L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5851 W 95TH ST, SUITE 300, OAK LAWN, IL 60453-2362
(708) 499-9800
(708) 499-6203
Mailing address
5851 W 95TH ST, SUITE 300, OAK LAWN, IL 60453-2362
(708) 499-9800
(708) 499-6203

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
036119477
IL
207VG0400X
Gynecology Physician
036119477
IL

Other

Enumeration date
11/04/2005
Last updated
12/21/2021
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