Lisa O Johnston


Address: 1601 S State St, Suite 500, Edmond, OK 73013-3698
Phone: 4052546453

Lisa O Johnston (NPI# 1316191356, PAC ID# 0143484162) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.

Physician Overview

Nation Provider ID (NPI) 1316191356
PAC ID by PECOS 0143484162
Professional Enrollment ID I20120604000098
Full Name Lisa O Johnston
Address 1601 S State St
Suite 500
Edmond
OK 73013-3698
Phone Number 4052546453
Gender F
Graduation Year 2007
Primary Specialty REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1601 S State St, Suite 500, Edmond, OK 73013-3698 4052546453

Organization Information

Office Location

Street Address 1601 S STATE ST
SUITE 500
City EDMOND
State OK
Zip 73013-3698

Physicians in the same location

Name Specialty Organization Address
Elizabeth Walt Bulmer Clinical Social Worker 1601 S State St, Suite 100, Edmond, OK 73013-3507

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Lori A Fredrick Diagnostic Radiology Board of Regents of The University of Oklahoma - Ou Physicians 14101 N Eastern Ave, Ou Physicians At Edmond, Edmond, OK 73013-1039
Joseph Davey Orthopedic Surgery Board of Regents of The University of Oklahoma - Ou Physicians 14101 N Eastern Ave, Ou Physicians At Edmond, Edmond, OK 73013-1039
Sara Kathleen Watson Family Medicine Board of Regents of The University of Oklahoma - Ou Physicians 14101 N Eastern Ave, Ou Physicians At Edmond, Edmond, OK 73013-1039
Neadum B Odum Chiropractic 15100 Traditions Blvd, Suite 1, Edmond, OK 73013-1184
Ashley D Mathias Nurse Practitioner James Avery Rush Iv Md Pa 15205 Traditions Lake Pkwy, Edmond, OK 73013-1198
Tanya M Rennie Nurse Practitioner James Avery Rush Iv Md Pa 15205 Traditions Lake Pkwy, Edmond, OK 73013-1198
Michael Daniel Spieker Nurse Practitioner James Avery Rush Iv Md Pa 15205 Traditions Lake Pkwy, Edmond, OK 73013-1198
Amer B Nouh Neurology 1417 Nw 150th St, Neuro Pain Care, Edmond, OK 73013-1305
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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