Mrs. Lillie Lois Johnson
Rehabilitation Practitioner
205 N Blackstone Ave
Fresno
, California 93701-1914
Mrs. Lillie Lois Johnson
Rehabilitation Practitioner
205 N Blackstone Ave
Fresno
, California 93701-1914
(559) 485-0133
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Mrs. Lillie Lois Johnson
- 1125 E Samson Ave
- Fresno, CA
- Zip : 93706-5528
- Phone : (559) 485-0133
Second Address
- Mrs. Lillie Lois Johnson
- 205 N Blackstone Ave
- Fresno, CA
- Zip : 93701-1914
- Fax : (559) 498-6220
- Phone : (559) 498-0241
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Is Mrs. Lillie Lois Johnson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1043367360 |
|---|---|
| Provider Name | Mrs. Lillie Lois Johnson |
| First Address | Fresno, CA 93706-5528 |
| Second Address | Fresno, CA 93701-1914 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.