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Individual

LISA DEBORAH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
(614) 358-2414
Mailing address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
(614) 358-2414

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN423588
OH

Other

Enumeration date
03/25/2020
Last updated
03/25/2020
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