Individual
MS. LIJI L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1211 UNION AVE, STE 200, MEMPHIS, TN 38104-6638
(901) 271-0330
(901) 271-0399
Mailing address
2595 CENTRAL AVE, CREDENTIALS DEPT, MEMPHIS, TN 38104-5905
(901) 260-8551
(901) 260-8590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2383
TN
363A00000X
Physician Assistant
MA055329
PA
363A00000X
Physician Assistant
OA002781
PA
Other
Enumeration date
01/26/2012
Last updated
09/19/2013
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