Lisa Johnson
NPI #1104410919 in Summersville, West Virginia
Provider Information
- NPI Number
- 1104410919
- Entity Type
- Individual
- Name
- Lisa Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Feb 22, 2021
- Last Updated
- Feb 22, 2021
Practice Location
- Address
- 3 HEMLOCK CIR
- City
- Summersville
- State
- West Virginia
- ZIP Code
- 26651-9112
- Phone
- (304) 651-8995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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