Johnson, Lisa M

Johnson, Lisa M is an sole proprietor health care provider with primary practice located at 8043 2Nd St Ste 105, Downey CA 90241-3621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Johnson, Lisa M can be contacted via phone (562) 862-1134.

Contact Information

Primary practice address
8043 2Nd St Ste 105 Downey CA 90241-3621
Phone: (562) 862-1134
Fax: (562) 861-9895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP9644 California

Profile Details

NPI number 1750388716
LBN Legal business name Johnson, Lisa M
Credentials M.S.N., NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2005
Last updated Jun 9th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750388716 NPPES
California MEDICAID RN4927680
California MEDICAID RN4927681

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