Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DESERAE LEI JOHNSON, LMT
Active Sole ProprietorMRS. DESERAE LEI JOHNSON, LMT is a Specialist healthcare provider located in KUNA, Idaho. NPI 1033537170 is currently active in the NPPES registry. Verify at CMS.
Specialist · KUNA, ID
Registration Details
- NPI Number
- 1033537170
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2014 (12.343312050831 yrs)
- Last Updated
- Apr 5, 2014
- License
-
MAS-1035 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1654 W BOISE STKUNA, ID, 836343137Browse ID providers · Browse ZIP 83634
- Phone
- 2084090422
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.