Mrs. Lisa Marie Johnson, PA
Mrs. Lisa Marie Johnson, PA is a Medical Physician Assistant in Indialantic, Florida. Licensed in Florida and Oklahoma. Registered with an NPI since 2007.
- Licensed in
- FL, OK
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
150 5th Ave Ste AIndialantic, FL 32903-3154
Phone: (321) 254-6803
Fax: (321) 254-6819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA9108416 (FL) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 1338 (OK) |
Record details
| NPI number | 1295877785 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | February 13, 2007 |
| Last updated in NPPES | March 28, 2022 |
| Certification date | March 28, 2022 |
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