Ms Lisa J Johnson, RD is a
Dietitian, Registered based in Stanley, Idaho. Ms Lisa J Johnson is licensed to practice in Idaho (license number D-122) and her current practice location is
113 Crocked Creek Lane, Stanley, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 774-2864.
NPI number for Ms Lisa J Johnson is 1811662547 and her current mailing address is Pob 69, Stanley, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811662547.
Healthcare Provider's Profile
Full Name | Ms Lisa J Johnson |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 113 Crocked Creek Lane, Stanley, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811662547
- Provider Enumeration Date: 08/13/2021
- Last Update Date: 08/13/2021
Medical Identifiers
Medical identifiers for Ms Lisa J Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811662547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | D-122 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lisa J Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Lisa J Johnson, RD Pob 69, Stanley, ID 83278 Ph: () - | Ms Lisa J Johnson, RD 113 Crocked Creek Lane, Stanley, ID 83278 Ph: (208) 774-2864 |
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