Lisa Johnston is a Technician/Technologist based in Ardmore, OK. Lisa Johnston practices in Ardmore, OK. The NPI Number for Lisa Johnston is 1962908533 and holds a License No. (Oklahoma).
The current practice location address for Lisa Johnston is 402 4Th Ave Sw, Ardmore, OK and can be reached out via phone at 580-798-4523.
Location: 402 4Th Ave Sw, Ardmore, OK, 73401-4935
Provider Profile Details
NPI Number
1962908533
Provider Name
Lisa Johnston
Credential
Provider Entity Type
Individual
Gender
Female
Address
402 4Th Ave Sw, Ardmore, OK, 73401-4935
Phone Number
580-798-4523
Fax Number
Provider Enumeration Date
04/03/2018
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M081019050 | 01 | OK | DRIVERS LICENSE |
Provider Business Practice Location Address Details
Address
402 4Th Ave Sw
City
State
Zip
73401-4935
Phone Number
580-798-4523
Fax Number
Provider Business Mailing Address Details
Address
402 4Th Ave Sw
City
State
Zip
73401-4935
Phone Number
580-798-4523
Fax Number
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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