Individual
ELIZABETH M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6900 W LAKE ST, ST LOUIS PARK, MN 55426-4209
(952) 222-3578
Mailing address
6900 W LAKE ST, ST LOUIS PARK, MN 55426-4209
(952) 222-3578
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3225
MN
Other
Enumeration date
06/24/2009
Last updated
07/05/2022
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