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
Phone: (402) 520-8955
Fax: (833) 471-5257
Website:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619963709 | NPPES |
| Nebraska | Other | 23174 | BCBS |
| Nebraska | Other | P00716684 | BCBS |
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