Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LISA J JOHNSON, RD
Active Sole ProprietorMS. LISA J JOHNSON, RD is a Registered Dietitian healthcare provider located in STANLEY, Idaho. NPI 1811662547 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · STANLEY, ID
Registration Details
- NPI Number
- 1811662547
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2021 (4.9775259097087 yrs)
- Last Updated
- Aug 13, 2021
- License
-
D-122 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
113 CROCKED CREEK LANESTANLEY, ID, 83278Browse ID providers · Browse ZIP 83278
- Phone
- 2087742864
- Primary Specialty
-
Registered Dietitian
133V00000X
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.