Individual
LISA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 FREEMAN RD E STE 1, FIFE, WA 98424-3776
(253) 922-7833
(253) 922-7611
Mailing address
2150 FREEMAN RD E STE 1, FIFE, WA 98424-3776
(253) 922-7833
(253) 922-7611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00126628
WA
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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