Individual
LISA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
102 N MAIN ST, BROOKLYN, MI 49230-8979
(517) 581-5915
Mailing address
8555 IRISH MIST, ONSTED, MI 49265-9309
(517) 581-5915
(517) 592-1975
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704191237
MI
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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