Johnson, Lisa Abby Gail

Johnson, Lisa Abby Gail is an sole proprietor health care provider with primary practice located at 11234 Anderson St , Loma Linda CA 92354-2804. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Lisa Abby Gail can be contacted via phone (909) 558-1000.

Contact Information

Primary practice address
11234 Anderson St Loma Linda CA 92354-2804
Phone: (909) 558-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 20328 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20328 California

Profile Details

NPI number 1447553664
LBN Legal business name Johnson, Lisa Abby Gail
Credentials NP, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2010
Last updated May 26th, 2023 - about 2 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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