NPI 1114079787

Ulla L Johnson, LMP

Practitioner Specialist Lake Stevens, WA

Practice location

Address: 1903 118th Ave NE, Lake Stevens, WA 98258-8409
Phone: (425) 397-9591

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA00012949 (WA)

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Registry record

NPI: 1114079787
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.