Search › Idaho › 133V00000X
Lisa Johnson, RD
NPI 1811662547 · on the registry since 2021 · sole proprietor
Practice
- Address
- 113 Crocked Creek Lane
Stanley, ID 83278 - Phone
- (208) 774-2864
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-13
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 Idaho