Johnson, Lisa M

Johnson, Lisa M is an individual health care provider with primary practice located at 7120 S 69Th St Ste 101A , Lincoln NE 68516-3868. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Lisa M can be contacted via phone (402) 520-8955.

Contact Information

Primary practice address
7120 S 69Th St Ste 101A Lincoln NE 68516-3868
Fax: (833) 471-5257
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1216 Nebraska

Profile Details

NPI number 1619963709
LBN Legal business name Johnson, Lisa M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Feb 1st, 2024 - about 9 months 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 1619963709 NPPES
Nebraska Other 23174 BCBS
Nebraska Other P00716684 BCBS

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