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

MS. Lisa Marlow Johnson

Individual provider Developmental Therapist · NPI 1629208731

MS. Lisa Marlow Johnson is a Developmental Therapist in Belleville, Illinois. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

34 Fenwood Dr
Belleville, IL 62220
Phone: (618) 292-9659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1629208731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 23, 2009
Last updated in NPPESJuly 23, 2009
Mailing address34 Fenwood Dr, Belleville, IL 62220

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