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1043652217
LISA LYNN JOHNSON
NEODESHA, KS
NPI
1043652217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS TMP 147286)
Enumeration Date
2013-07-29
Last Update Date
2014-08-22
Business Address
-- LISA LYNN JOHNSON APRN
2600 OTTAWA RD
NEODESHA, KS 66757-1897
Phone number: 620-325-2611
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Mailing Address
-- LISA LYNN JOHNSON APRN
2600 OTTAWA RD P.O. BOX 360
NEODESHA, KS 66757-1897
Phone number: 620-325-2611
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