LISA B WURNIG-JOHNSON

AVERA ST LUKES

Dr LISA B WURNIG-JOHNSON is a female medical professional, specializing in Physician Assistant. She graduated in 2001.

Contact

AVERA ST LUKES

815 1ST SE AVE
AVERA MED GRP PAIN MNGMT
ABERDEEN
SD
574014602

Tel: 6056225123

LISA B WURNIG-JOHNSON Information

Npi 1407945918
Pac Id 7416116413
Professional Enrollment Id I20120312000297
Last Name WURNIG-JOHNSON
First Name LISA
Middle Name B
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2001
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name AVERA ST LUKES
Group Practice Pac Id 6406764927
Number Of Group Practice Members 124
Line 1 Street Address 815 1ST SE AVE
Line 2 Street Address AVERA MED GRP PAIN MNGMT
Marker Of Address Line 2 Suppression
City ABERDEEN
State SD
Zip Code 574014602
Phone Number 6056225123
Hospital Affiliation Ccn 1 430014
Hospital Affiliation Lbn 1 AVERA ST LUKES
Hospital Affiliation Ccn 2 430097
Hospital Affiliation Lbn 2 SANFORD MEDICAL CENTER ABERDEEN
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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