Search › Missouri › 101YP2500X
Lisa Travis-Johnson
NPI 1417557679 · on the registry since 2020
Practice
- Address
- 140 Weldon Pkwy
Maryland Heights, MO 63043 - Phone
- (314) 569-2278
- Fax
- (314) 569-2280
- Organisation at this address
- Sana Lake Recovery Center, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri