Individual provider · Type 1 NPI
Lisa Marie Johnson, P.A.
Medical Physician Assistant · Indialantic, FL
NPI number
1295877785
Active
Practice location
150 5th Ave Ste A
Indialantic, FL 32903-3154
Fax (321) 254-6819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1338 (OK) |
| Medical Physician Assistant Primary | 363AM0700X | PA9108416 (FL) |
Medical Physician Assistant: Definition to come...
About NPI 1295877785
Lisa Marie Johnson, P.A.'s National Provider Identifier is 1295877785, issued on Feb 13, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Indialantic, FL. The record was last updated on Mar 28, 2022.