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

Lita Elaine Johnson, CSFA

Individual provider Surgical Assistant · NPI 1962370486

Lita Elaine Johnson, CSFA is a Surgical Assistant in Mountain Home, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2025

Practice location Address checks out

2845 SW Heaton Ln
Mountain Home, ID 83647-6409
Phone: (208) 803-8246
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 100102656 (ID)

Record details

NPI number1962370486
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSFA
Sole proprietorYes
NPI enumeratedOctober 27, 2025
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025