Lisa L Johnson is a Gynecology in Oak Lawn, Illinois. Lisa L Johnson practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Lisa L Johnson is 1629069919. The last update date is 2021-12-21.
Lisa L Johnson's current location address is 5851 W 95th St, Oak Lawn, Illinois. You can contact this provider via phone number 7084999800 and fax number 7084996203. The mailing address for Lisa L Johnson is 5851 W 95th St, Oak Lawn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa L Johnson |
|---|---|
| Address | 5851 W 95th St, Oak Lawn, Illinois |
| Phone Number | 7084999800 |
| Fax Number | 7084996203 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629069919 |
|---|---|
| Provider Enumeration Date | 2005-11-04 |
| Last Updated Date | 2021-12-21 |
Provider Mailing Address Detail
| Address | 5851 W 95th St |
|---|---|
| City | Oak Lawn |
| State | Illinois (IL) |
| Post Code | 604532362 |
| Phone Number | 7084999800 |
| Fax Number | 7084996203 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | 36119477 |
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Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
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What is the unique identification code assigned to Lisa L Johnson by the Centers for Medicare & Medicaid Services?
The Lisa L Johnson has been issued the NPI (National Provider Identifier) 1629069919. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lisa L Johnson?
The Lisa L Johnson is situated at 5851 W 95Th St, in the city of Oak Lawn, state of IL, with the zip code 604532362.
What is Lisa L Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa L Johnson's area of specialization is Gynecology, and the corresponding taxonomy code that categorizes this field of practice is 207Vg0400X.
When was the Lisa L Johnson's 1629069919 issued?
The Lisa L Johnson's 1629069919 was issued on 2005-11-04.
As of what date were the details pertaining to Lisa L Johnson last refreshed?
The information related to the Lisa L Johnson, including its address, specialty, and other relevant details, was last updated on 2021-12-21.