Lisa M Johnson, PA-C

NPI #1619963709 in Lincoln, Nebraska

Provider Information

NPI Number: 1619963709
Entity Type: Individual
Name: Lisa M Johnson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 23, 2005
Last Updated: Feb 1, 2024

Practice Location

Address: 7120 S 69TH ST STE 101A
City: Lincoln
State: Nebraska
ZIP Code: 68516-3868
Phone: (402) 520-8955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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