MRS. Lisa Marie Johnson, P.A.
NPI #1295877785 in Indialantic, Florida
Provider Information
- NPI Number
- 1295877785
- Entity Type
- Individual
- Name
- MRS. Lisa Marie Johnson, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A.
- Enumeration Date
- Feb 13, 2007
- Last Updated
- Mar 28, 2022
Practice Location
- Address
- 150 5TH AVE STE A
- City
- Indialantic
- State
- Florida
- ZIP Code
- 32903-3154
- Phone
- (321) 254-6803
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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