Individual provider · Type 1 NPI

Lisa L. Johnson

Student in an Organized Health Care Education/Training Program · Portales, NM

NPI number 1295356640 Active

Practice location

1500 S Ave K, Station 3, Shroc
Portales, NM 88130

Call (801) 636-6484 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295356640

Lisa L. Johnson's National Provider Identifier is 1295356640, issued on Apr 27, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portales, NM. The record was last updated on May 8, 2020.