Lisa O Johnston, R.D./L.D. Valid NPI
Individual provider · Registered Dietitian · Edmond, OK
- NPI
- 1316191356
- Type
- Individual (Type 1)
- Primary specialty
- Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133V00000X
- License number
- 1559 (OK)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2008-11-04
- Last updated
- 2017-03-23
Practice location
1601 S State St, Ste 500
Edmond, OK 73013-3698
(405) 509-1294