person
Ms. Lisa Marie Johnson, OPTICIAN
Optician in Eau Claire, Wisconsin
NPI 1427211515

Lisa Marie Johnson is a Optician based in Eau Claire, WI and is specialized in Optician. Lisa Marie Johnson practices in Eau Claire, WI and has the professional credentials of OPTICIAN. The NPI Number for Lisa Marie Johnson is 1427211515 and holds a License No. (Wisconsin).

The current practice location address for Lisa Marie Johnson is 4054 Commonweath Ave, Eau Claire, WI and can be reached out via phone at 715-833-1220 and via fax at 715-833-1297. You can also correspond with Lisa Marie Johnson through the mailing address at 4054 COMMONWEATH AVE, EAU CLAIRE, WI - 54701-9000 (mailing address contact number: 715-833-1220).

Location: 4054 Commonweath Ave, Eau Claire, WI, 54701-9000
person
Provider Profile Details
NPI Number
1427211515
Provider Name
Lisa Marie Johnson
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Female
Address
4054 Commonweath Ave, Eau Claire, WI, 54701-9000
Phone Number
715-833-1220
Fax Number
715-833-1297
Provider Enumeration Date
07/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38460300 05 WI
institution
Provider Business Practice Location Address Details
Address
4054 Commonweath Ave
City
State
Zip
54701-9000
Phone Number
715-833-1220
Fax Number
715-833-1297
person
Provider Business Mailing Address Details
Address
4054 Commonweath Ave
City
State
Zip
54701-9000
Phone Number
715-833-1220
Fax Number
715-833-1297
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
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