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Marisa Johnson, MD
Nephrology Physician in Shreveport, Louisiana
NPI 1083615520

Marisa Johnson is a Nephrology Physician based in Shreveport, LA and is specialized in Nephrology. Marisa Johnson practices in Shreveport, LA and has the professional credentials of MD. The NPI Number for Marisa Johnson is 1083615520 and holds a License No. L6967 (Louisiana).

The current practice location address for Marisa Johnson is 1303 Line Ave, Shreveport, LA and can be reached out via phone at 318-221-2707 and via fax at 313-221-2709.

Location: 1303 Line Ave, Shreveport, LA, 71101-4628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083615520
Provider Name
Marisa Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1303 Line Ave, Shreveport, LA, 71101-4628
Phone Number
318-221-2707
Fax Number
313-221-2709
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
146986802 05 TX
1487481 05 LA
institution
Provider Business Practice Location Address Details
Address
1303 Line Ave
City
Shreveport
State
Louisiana
Zip
71101-4628
Phone Number
318-221-2707
Fax Number
313-221-2709
person
Provider Business Mailing Address Details
Address
1303 Line Ave
City
Shreveport
State
Louisiana
Zip
71101-4628
Phone Number
318-221-2707
Fax Number
313-221-2709
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
L6967 (Texas)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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