Lisa Ann Johnson

NPI #1184089377 in Little Falls, Minnesota

Provider Information

NPI Number: 1184089377
Entity Type: Individual
Name: Lisa Ann Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 15, 2015
Last Updated: Dec 15, 2015

Practice Location

Address: 15091 18TH ST NE
City: Little Falls
State: Minnesota
ZIP Code: 56345-4579
Phone: (320) 632-3644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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