Johnson, Lisa Marie

Johnson, Lisa Marie is an individual health care provider with primary practice located at 5150 Ronald Reagan Blvd Apt 1110 , Johnstown CO 80534-6802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Lisa Marie can be contacted via phone (706) 957-2014.

Contact Information

Primary practice address
5150 Ronald Reagan Blvd Apt 1110 Johnstown CO 80534-6802
Phone: (706) 957-2014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0993584-NP Colorado

Profile Details

NPI number 1922513563
LBN Legal business name Johnson, Lisa Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2017
Last updated Apr 12th, 2024 - about 7 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 1922513563 NPPES
Colorado Other APN.0993584-NP APRN STATE LICENSE
Colorado MEDICAID 9000155505 APRN STATE LICENSE

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