Individual
LISA COLETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6087 CARLISLE CREST LN, LAS VEGAS, NV 89139-6275
(725) 267-3263
Mailing address
6087 CARLISLE CREST LN, LAS VEGAS, NV 89139-6275
(725) 267-3263
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN14926
NV
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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