Lisa Marlow Johnson

Developmental Therapist · Belleville, IL

Individual Active NPI

NPI number 1629208731

Practice location

34 Fenwood Dr
Belleville, IL 62220
Phone
(618) 292-9659

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NPI record

NPI
1629208731
Entity type
Individual (Type 1)
Enumeration date
July 23, 2009
Last updated
July 23, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X — —

About Lisa Johnson

Lisa Marlow Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 34 Fenwood Dr, Belleville, IL 62220. The NPI number 1629208731 was assigned on July 23, 2009 and the record was last updated on July 23, 2009.

Frequently asked questions

What is the NPI number of Lisa Marlow Johnson?

The NPI number is 1629208731.

What is the phone number of Lisa Johnson?

The phone number listed for the practice location is (618) 292-9659.

Where is Lisa Johnson located?

34 Fenwood Dr, Belleville, IL 62220.

What is the taxonomy code for Lisa Johnson?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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