Lisa M Johnson


Address: 28 E Marion St, Suite 25, Princeton, IL 61356-2093
Phone: 8158752192

Lisa M Johnson (NPI# 1417375650, PAC ID# 5991920415) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1417375650
PAC ID by PECOS 5991920415
Professional Enrollment ID I20140625001564
Full Name Lisa M Johnson
Address 28 E Marion St
Suite 25
Princeton
IL 61356-2093
Phone Number 8158752192
Gender F
Graduation Year 2002
Primary Specialty CLINICAL SOCIAL WORKER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
28 E Marion St, Suite 25, Princeton, IL 61356-2093 8158752192

Organization Information

Office Location

Street Address 28 E MARION ST
SUITE 25
City PRINCETON
State IL
Zip 61356-2093

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Jeffrey P Martin Chiropractic 516 S Pleasant St, Princeton, IL 61356-1953
Donald Ray Marion Optometry 2 Park Ave W, Princeton, IL 61356-2019
Robert Mark Adler Chiropractic 17 E Peru St, Princeton, IL 61356-2031
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Competitor

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City PRINCETON
Zip Code 61356
Specialty CLINICAL SOCIAL WORKER
City + Specialty PRINCETON + CLINICAL SOCIAL WORKER

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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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