MARISA JOHNSON

SHREVEPORT, LA
NPI1083615520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: LA  MD.023908)
Additional Taxonomies207RN0300X Internal Medicine, Nephrology
(Licence: TX  L6967)
207RN0300X Internal Medicine, Nephrology
(Licence: LA  023908)
Enumeration Date2005-08-09
Last Update Date2017-09-06
Business Address
-- MARISA JOHNSON MD
1303 LINE AVE STE 400
SHREVEPORT, LA 71101-4628
Phone number: 318-221-2707
Mailing Address
-- MARISA JOHNSON MD
1303 LINE AVE STE 400
SHREVEPORT, LA 71101-4628
Phone number: 318-221-2707