Ms Lisa O Johnston, RD/LD | |
1601 S State St, Ste 500, Edmond, OK 73013-3698 | |
(405) 509-1294 | |
(405) 562-8735 |
Full Name | Ms Lisa O Johnston |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 17 Years |
Location | 1601 S State St, Edmond, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316191356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1559 (Oklahoma) | Primary |
Provider Name | Nourish Nutrition & Diabetes Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275956062 PECOS PAC ID: 3274968847 Enrollment ID: O20200109001047 |
Mailing Address | Practice Location Address |
---|---|
Ms Lisa O Johnston, RD/LD 1601 S State St, Suite 500, Edmond, OK 73013-3626 Ph: (405) 241-5836 | Ms Lisa O Johnston, RD/LD 1601 S State St, Ste 500, Edmond, OK 73013-3698 Ph: (405) 509-1294 |
Mrs. Kalyn Lee Khalaf, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15800 Langley Way, Edmond, OK 73013 Phone: 405-361-1040 | |
Diana K. Rice Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 239 N Broadway, Edmond, OK 73034 Phone: 405-509-5146 | |
Nina Brumley, R.D L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 120 N Bryant Ave, Suite A9, Edmond, OK 73034 Phone: 405-285-4762 Fax: 405-285-4352 | |
Mrs. Sheila J Groves, MS, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4801 Integris Pkwy, Edmond, OK 73034 Phone: 405-773-6606 Fax: 405-471-0024 | |
Carliani Alvarenga Rambo, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2408 Wellington Way, Edmond, OK 73012 Phone: 501-428-3302 | |
Brooke Bowlware, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3325 S Boulevard Ste 169, Edmond, OK 73013 Phone: 405-990-5553 | |
Mrs. Jennifer Southard, MS, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3120 S Boulevard Ste 127, Edmond, OK 73013 Phone: 405-960-3120 |