Individual provider · Type 1 NPI

Lyiah Johnson

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1851135107 Active

Practice location

9374 Olive Blvd
St. Louis, MO 63132-3267

Call (314) 932-2402 Map

Mailing address

9154 Cosens Ave
St. Louis, MO 63136

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 1851135107

Lyiah Johnson's National Provider Identifier is 1851135107, issued on Jun 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 21, 2024.