Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa L Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295356640

Lisa L Johnson is a Student in an Organized Health Care Education/Training Program in Portales, New Mexico. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1500 S Ave K Station 3 Shroc
Portales, NM 88130
Phone: (801) 636-6484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1295356640
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2020
Last updated in NPPESMay 8, 2020
Certification dateMay 8, 2020
Mailing address1500 S Ave K, Station 3, Shroc, Portales, NM 88130

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